Orpea Scandal: What ARS criticized at EHPAD of Neuilly-sur-Seine since 2018

In July 2018, an inspection of the Ile-de-France Regional Health Agency, including “Le Monde” reveals the content, alerted the failures of the establishment the banks of Seine, in the heart of the book “The graduate”.

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“Deviations to the regulations in force”, “dysfunctions”, a “lack of rigor in certain administrative and medical procedures” … by 2018, an inspection of the Regional Health Agency (ARS) ILE-DE- France alerted the management of the accommodation for the elderly dependent (EHPAD) The banks of Seine de Neuilly-sur-Seine (Hauts-de-Seine). And this, three years before the publication of the book the graves (Fayard, 400 pages, 22.90 euros), in which the independent journalist Victor Castanet explores in detail the practices of this establishment to describe the excesses of his mother-house, the ORPEA group.

The ARS visited the EHPAD of Neuilly-sur-Seine twice, on July 5 and August 6, 2018, after receiving several reports and claims from 2016 to 2018, including a particular resident. Its report, transmitted to the establishment in which Le Monde obtained a copy, lists a dozen sprains in the regulations in force and formula thirteen “remarks” on situations considered contrary to good practices.

 Examples of deviations between the standards in force and practices identified by the ARS Ile-de-France in 2018.

Residents remained “several hours on the ground after a fall”

Several gaps relate to the management of the staff of the establishment. First, there is the use of short contracts and an important “instability of the teams, which are accompanied by gaps in the supervision of new employees, which are” not trained in the prevention of abuse “. But also a time of insufficient presence of the coordinating physician of the establishment, auxiliaries of social life – who take care of the toilets alone, while this mission lies with caregivers – or irregularities in the statutes of nurses.

Failure are also recognized in the care of patients. The ARS inspection thus discovers “that people who have made falls are sometimes stayed for several hours on the ground afterwards without any staff who help them”. And sometimes without the family being prevented from the accident. It deplores the lack of internal work on the concept of “undesirable event”, which “does not allow its clear identification by staff”, as well as “transmission, care and coordination defects” in the Resident follow-up.

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/Media reports.