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Friend of home alone widow, 98, says Govt statement is 'untrue'

A 98-year-old widow with dementia and diabetes who has been ruled ineligible for Financial Assistance was last night still home alone despite a visit from a Department of Health social worker yesterday.Mrs O was assessed at the rundown property where she lives by community health social worker Katherina Gibbons, who has been to see her before and who suggested in July that she be placed on a waiting list for a care home.But nothing had changed in the vulnerable widow’s situation as of yesterday evening, when Mrs O was facing another night on her own, sleeping in a hard-backed chair in her kitchen because she is unable to put herself to bed.Government issued a two-page statement last night documenting what it had done to help the senior, but it was denounced as “totally untrue” by Mrs O’s former employer, Ms H, who has been paying for her to receive some care at home.The Royal Gazette revealed Mrs O’s plight yesterday, when we told how she was recently found wandering in her yard in just a diaper and vest and now had to be locked into the house for her own safety.Ms H said the Ministry of Health’s statement contained just one accurate paragraph and failed to address who should pay for the round-the-clock care that social workers have declared necessary.“The statement is totally untrue,” said Ms H, who is not related to the elderly lady. “It’s not factual.”Mrs O has no relatives willing to look after her and spends 21 hours a day on her own in her dilapidated family home, sitting in a chair in her kitchen on an incontinence pad.She receives three hours of help a day from a private care service, which Ms H pays for, at a cost of $2,680 a month.Government has been aware of Mrs O’s situation since March this year, when Ms H first made contact with the National Office for Seniors and the Physically Challenged (NOSPC).NOSPC case manager Dennika Williams sent an e-mail to the Department of Financial Assistance on May 2, explaining that Mrs O required “24-hour care and assistance”.She wrote: “Mrs O receives a $700 a month pension but is left with only $200 a month after HIP (Health Insurance Plan). She also receives a policy for her late husband [of] $200 a month. This is insufficient funds to cover care and pay for daily living.”Ms Williams added: “Ms H has been very supportive both physically and financially but client care is becoming overwhelming.”The Department of Financial Assistance later determined that Mrs O was ineligible for any financial aid, as she has a “life interest” in the property in which she lives.It is believed that the one-storey home is owned by her great-nephew but that she can live there until her death. She is not thought to receive any financial benefit from the house or to have any savings or other assets.Social worker Ms Gibbons has visited Mrs O more than once and wrote in an e-mail to Ms H in July that it was “anticipated that she will be placed on a waiting list” for a care home.She returned to Mrs O’s home yesterday and, according to Ms H, stated again that the senior needed 24-hour care and should be placed in a home.But neither she nor anyone else in Government has explained to Ms H who will pay for that care, which could cost anything from $1,395 a month at Lefroy House to $13,800 a month at King Edward VII Memorial Continuing Care Unit (CCU).The Ministry of Health statement released last night said in March “the option of moving into a residential care facility was discussed, but Mrs O refused”.Ms H said: “She was 97, of course she was going to refuse.”The statement went on: “Arrangements were made with a home care service to assist with Mrs O’s care and Ms H’s family continued to provide help with her care.”Ms H said: “I made the arrangements and we paid for the care.”The Ministry said the Department of Financial Assistance, after determining that Mrs O didn’t qualify for assistance, “went the extra mile” by finding a place for her at a facility which cost less per month than the private home care service.Ms H said the Department’s director did suggest the facility and visited it with her but Ms H did not deem the level of care appropriate and it cost the same as the private home care.The Ministry’s statement said: “When it was learned that Ms H had to leave the Island for personal reasons, NOSPC worked with her to identify either a permanent rest home placement or respite care for Mrs O. Unfortunately, the placement was not accepted.”Ms H said: “They weren’t offering anything financial whatsoever. We all met and they said ‘if you have $5,000 a month, we can find a bed for her’.”The Ministry said Mrs O was assessed on several occasions and care for problems with her leg, which is swollen and covered in sores, was given by the District Nurse.“The [National] Office also arranged for Mrs O to have a place in the day care programme at Sylvia Richardson Care Facility. Again, unfortunately, Mrs O attended only sporadically and has not attended in some time.”Ms H explained she had to make arrangements to get Mrs O to the facility and pay for inclusion in the programme and for transport. Problems with access to Mrs O’s property meant the bus used by the home to transport clients was unsuitable.The Ministry said Mrs O was admitted to hospital in December and, upon being discharged, was offered a place in the CCU, which was declined. “Another placement was then found at a private care facility, but it is not known if that offer was acted upon.”Ms H said that wasn’t true and that though the prospect of a place at the CCU had recently been raised, no one had explained how the fees would be paid.Yesterday’s statement said: “The Ministry of Health and the Ministry of Youth, Families and Sports have offered all possible assistance.“NOSPC has received offers of assistance from the public and these offers have been relayed to Ms H.”Ms H said she had heard nothing from the NOSPC yesterday. “Nobody has faced me or said boo to me. August was the last contact I had with them.”Asked over the telephone by this newspaper if there was anything else Government could do to help Mrs O, Health Minister Zane DeSilva said yesterday: “Well, there is.”He said he could not speak at that moment but would give comment later. He did not return calls later in the day but sent a text indicating a statement would come from his Ministry.Claudette Fleming, director of Age Concern, said the case highlighted the lack of infrastructure in Bermuda for dealing with seniors in need.She said the NOSPC was not getting the resources it needed to do its job properly and that what was really needed was an entire Ministry “with the funding and resources that go with it”.“Until we take that step, we are going to be ‘piecemealing’ it and seniors are going to be disadvantaged. How loud do you have to scream to say it? It’s obviously not seen as important.”This newspaper received a number of offers of help for Mrs O from the public yesterday. They have been passed to Ms H, who said she was grateful for the responses and was considering what to do next.

The email chain over Mrs O

Ms H has been in contact with Government about Mrs O since March this year. Here are extracts from some of the e-mails sent about the case since then from officials at the National Office for Seniors and the Physically Challenged (NOSPC) and the Department of Health.

********************************************From: Williams, Dennika (NOSPC case manager)

Sent: Monday, May 02, 2011 11:14 AM

To: Smith, Chantel (Department of Financial Assistance officer)

Cc: Ms H; Saunders, Corita (NOSPC Coordinator for Seniors)

Subject: Mrs O

Good Day Chantel,

Ms H, caregiver, is requesting financial assistance for Mrs O, a very pleasant 98-year-old senior who resides alone at home (in trust), has limited mobility and is unable to carry out her daily ADLs (activities of daily living). Client has no family. Husband died 20 years ago and her only child died at toddler age. Ms H family has been her “adopted family”. She was their nanny. Ms H has been very supportive both physically and financially but client care is becoming overwhelming.

Mrs O receives a $700/month pension but is left with only $200/month after HIP payment. She also receives a policy for her late husband [of] $200/month. This is insufficient funds to cover care and pay for daily living.

NOSPC has made a home visit and made recommendations for a private home care service or residential care home placement, GAPP (Geriatric Assessment Planning and Placement Team), (which she declined at that time), as Ms O requires 24-hour care and assistance. Mrs O stated she is content and wishes to remain home “until she closes her eyes”.

Ms H has had to option for minute coverage from [a] private home care service...because of limited funds. [The home care service] has been assisting Mrs O but only for three hours a day morning and night, but she requires more than three hours daily. Family has also optioned for a live-in caregiver, but will still need assistance.

Can your department assist with financing for more hours of care and work with this client and her family until placement is found?

********************************************From: Williams, Dennika

Sent: Wednesday, May 04, 2011 10:26 AM

To: Ms H

Subject: Re. Financial Assistance

Good Day Ms H,

I have e-mailed and copied you in on the email to Chantel Smith, Financial Assistance Worker. She has replied stating her Director, Dianna Taylor, was not in and will discuss the case with her. If I do not hear from them by Friday I would suggest both you and I contact Financial Assistance for an update on the situation. If they find her ineligible for assistance I will pass this case to the Acting [NOSPC] Manager, John Payne, for further action.

Have a good day.

********************************************From: Ms H

Sent: Wednesday, July 20, 2011 9:30 AM

To: Gibbons, Katherina (Community Health Social Worker)

Subject: Mrs O

Hi Katherina,

I am just checking that Mrs O is on a waiting list for a home and was wondering if there is any news.

Thanks

Ms H

********************************************From: Gibbons, Katherina

Sent: Wednesday, July 20, 2011 3:03 PM

To: Ms H

Cc: Cheape, Valerie (Ministry of Health clinical nurse case manager)

Subject: RE: Mrs O

Ms H

Mrs O was discussed yesterday and it is anticipated that she will be placed on a waiting list.

********************************************From: Ms H

Sent: Tuesday, August 09, 2011 3:23 PM

To: Williams, Dennika

Subject: news

Dennika,

Please have some news for me!!!

Regards

Ms H

********************************************From: Williams, Dennika

Sent: Tuesday, August 09, 2011 4:31 PM

To: Ms H

Subject: RE: news

Good Day Ms H,

I have forwarded this to Mr Payne and requested for him to advise. As I stated before, if there is no resolution by the 14th and you leave on the 17th of this month, take her to the hospital and let them know she has an issue with her leg and she cannot return home because she resides alone, cannot care for herself and you are going abroad for treatment. They will have to keep her and form a careplan for her.

********************************************