Statements on Nursing Homes - 1st June 2005
Statements on Nursing Homes - 1st June 2005
Mr. Norris: I agree with Senator MacSharry,
but he scored a few points in his earlier remarks.
However, it is a matter which should not be
treated in such a manner, as one which affects the
whole community. I have already spoken on the
Order of Business and several times this week on
this issue. A great deal of good sense has been
spoken on both sides of the House, so I do not
intend to use my full allocation of time. I understood
there were only eight minutes, but apparently
that has been extended.
An Cathaoirleach: It is 15 minutes.
Mr. Norris: I will not need that amount of time.
However, it is important that a representative of
the Independent group joins with other Members
in saying that this situation must be addressed.
I beg the Cathaoirleach’s pardon. I am interpreting
his gestures and his sign language as asking
me, in effect, whether I would like to share
time with Senator Ormonde. I am grateful to him
for the suggestion. Will the House permit me to
share——
Mr. Norris: Perhaps the Cathaoirleach might
let me know when I have spoken for half the
allotted time.
I agree with those who have said this was a
remarkable piece of reporting by RTE. It took
a great deal of technical ingenuity using a small
camera, whether in a tie pin or whatever. The visual
image was very clear. The sound was also
quite good. It was remarkable. That is what I call
real investigative journalism. We sometimes hear
people talk about investigative journalism and
really what they mean is snooping into the sex
lives of pop stars and so on. I do not regard that
as investigative journalism, but I regard this programme
as good investigative journalism because
it highlighted a situation which needs to be
addressed and brought it to the attention of the
public and the Government.
I learned a great deal from the programme. I
have had elderly relatives and connections in
homes. My aunt, whom I absolutely adored, went
into the Alexandra Guild House. It nearly closed
but with the assistance of colleagues here I managed
to put forward a programme to rescue it.
Some 30 old ladies were given the stability of continuing
to live there. It is a wonderful place. They
do their own home baking. The staff absolutely
adore their patients. It was a home in the sense of
being a place where a community lived. I enjoyed
going there. However, I know that people are
afraid of the idea of nursing home because they
fear the sinister elements surrounding such
homes. My aunt lived to the age of 103. She had
very little wrong with her until, at the age of 102,
she fell and broke her hip. She was transferred to
a State facility. I do not want to completely blame
the people there because they are under great
pressure but my aunt almost immediately
developed a bed sore. It was only when she got
back to the Alexandra Guild House that the staff
there cured it.
I believe people develop such sores because
there is such pressure on the nursing profession
that they are not able to do what they are
required to do. Elderly people can be quite
intractable sometimes. Many of the people in
these homes are confused and a little contrary.
The nurses should turn such patients every three
hours and so on but with the pressure they are
under they do not do so, and I am sure about that.
In light of my experience, I agree it is
important to inspect private nursing homes
because this is to where our attention has been
drawn but it is unacceptable that there is no
inspection of the State nursing homes and there
should be. In the case of private nursing homes,
inspections are supposed to be carried out twi
a year but they are not.
Some time ago I raised a matter on the
Adjournment brought to my attention by a person
in my neighbourhood who cherished his
mother who was put into St. Mary’s Hospital in
the Phoenix Park. Her son complained about the
conditions in that hospital. I wrote a snotty letter
to the director of that hospital and I got a snotty
letter back and, as often happens in my life, that
was the beginning of a friendship. The director
said that if I was so interested in this issue, I
should show some realism and come out to see
the staff there. I said "What a good idea, I will".
I went out and had a look and I have to say I
admire the medical professionals, the nurses, the
physiotherapists, the occupational therapists and
so on who work in these disastrous conditions.
They are absolutely awful. In one place there
were leaks from a converted swimming pool.
There was one lavatory for two wards. In such
circumstances, how can facilities be kept clean?
In those circumstances, I pity the staff as much as
the patients. Some of the patients were quite
happy and they were looked after as well as possible
but some of them were clearly distressed.
As a friend of James Joyce, an old lady whom
I knew in Zurich said to me, "David, age is a
cage; it is not always attractive". One is very
lucky if, like my aunt, one keeps physically well,
mentally alert and emotionally balanced. Many
people do not. They are confused, feel threatened
and think they are not able to afford to stay in
these places. They are worried about their meals
and their families. I know of cases where one can
visit a patient and ten minutes later receive a call
in one’s car — as was the case with another relative
of mine — to inquire why one had not been
in to see that person in a fortnight. These people
are confused and difficult. They need our care as
much as possible.
There are not enough inspectors and they do
not have proper powers. What is the point in
inspecting if there is nothing one can do? The
only point of having inspectors is if they are able
to impose a sanction. The two sanctions that
should be available are the power to close a nursing
home or the power to impose a fine. Some of
these places can well afford to pay such a fine.
I read in a newspaper today that Leas Cross was
doing all right. It made a profit of something like
\60,000 and last year it made a profit of \500,000
on foot of a grant.
I listened to a radio programme yesterday and
was interested to hear a woman who rang in who
was a member of the staff of that nursing home.
She said she was horrified by the programme.
Maybe I am gullible but I believed her. She said
she was in a different unit and absolutely loved
her elderly patients. She sounded sincere. It may
be that even within that nursing home there are
different levels of care.
I mentioned the problem of bed sores which
I also mentioned the other day. I thought that
developing a bed sore was inevitable after a certain
age but this is not the case if a patient is
turned in bed and so on. A connection of mine, a
Hungarian lady, got one of these awful things and
I thought it was inevitable but it was not. We
need to make some further degree of investment
in this area to protect people whose number we
may, if we are lucky, join and we will expect our
successors in this House to look after our
interests.
I noticed one of the rather unpleasant nurses
who was pushing his fingers into a patient’s face,
shouting at her and making inappropriate
remarks and so on — his behaviour was not such
that it could be described as criminal, it just
seemed to be terribly unpleasant — but he was
continually referred to as a Filipino. That is not
fair because there are many wonderful, kind,
gentle and good Filipino nurses. Our hospital
system would be swept away without them.

