Investigation into complaint by North Australian Aboriginal Justice Agency about the care provided to Ms N by Department of Health and Community Services, the Public Guardian and Council. 27 June 2013
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75 resourced and staff lacked training to deal with her high care needs and challenging behaviours. The community was not serviced by a police station so there was no immediate police protection for Ms N when she was assaulted. Communication and Care Coordination 181. Communication among the service providers, and between service providers and the OPG, was inadequate, ad hoc, and broke down over time. The Investigation found that this was a crucial ingredient to the compromising of Ms Ns care and well-being during her adult years. 182. Evidence of this break down is most striking when there were opportunities for the identification of risk, as well as for improvement of service and service coordination, for Ms N and these opportunities were not reported to relevant stakeholders and missed. 183. As referred to above, one clear opportunity for improvement was the development of the Lifestyle Plan in 2003. The plan was an attempt to put Ms N at the centre of service planning. It identified the challenges associated with her care as well as the level of care required to meet her needs. The Plan was to be put into place through the requirements of the Service Agreement between DHCS and the Council. It noted that regular liaison by the DHCS Local Area Coordinator, the Respite Centre and the Guardianship Board would be required to ensure its success, and to this end monthly meetings were to occur to ensure her health as well as her physical well-being is being looked after. There was no evidence provided to the Investigation that any such meetings ever took
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