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Otway Health & Community Services

Report of Operations 2010 - 2011 2 our values

Responsive Mission - Through networking, linkages and partnerships enable people to optimise their wellbeing. Excellence Vision - All people in our community have knowledge Supportive of and access to, quality health and community services Partnerships responsive to their needs. Empowering The clinical team devised the RESPECT acronym and Confidentiality throughout the community consultations, RESPECT was the most cited value that people felt should be Teamwork included.

Photo courtesy of Jeffery Richardson

Otway Health & Community Services report of operations 2010 - 2011 3

table of contents

Our Value, Mission Statement & Location Map 2

Welcome 4

Challenges We Face 5

Chair of the Board Report 6

CEO Report 7

Services That We Provide 8

Strategic Directions 9

Service Achievements 10

Our Board 14

Our Team 16

Community Services Report 20

Clinical Services Report 30

Corporate Services Report 33 4 Welcome

The Otway Ranges is a unique The Otways were first settled funding from Local, State, and environment of towering from the 1840’s with the building Federal Governments. Being a rainforests leading to lush hills of the Lighthouse MPS allows Otway Health the and opening onto magnificent and the first settlers to the area flexibility to respond effectively beaches. Winding roads through established saw mills and timber to the changing needs of this the forests and along the coast getting. township remote rural community. join the small communities dotted was established from the 1860’s throughout this idyllic landscape. as a central point to service the outlying timber industries as Farmers, fishermen, tourist well as the fishing and operators, artists, families, and industries. Although the timber tradesmen, help create the and fishing industries continue, “Whether living within one of diverse communities we all enjoy. tourism now dominates the area, the townships or villages, or in With the regular influx of holiday with farming coming in a close one of the more secluded spots, makers, sports enthusiasts, and second (Census, 2006). the people of the Otways all day trippers, our towns swell from have one thing in common, a sleepy little hamlets of several Otway Health and Community love of the peace and serenity hundred residents to several Services (OHCS) is a Multi that is offered here.” thousand (tens of thousands in Purpose Service (MPS) which peak season for Apollo Bay). was established with combined

Otway Health & Community Services report of operations 2010 - 2011 Challenges we face 5

Taking a drive along the Great • A lack of public transport • Major industries for Ocean Road, it is hard to think contributes to the geographic employment are of a more idyllic place to call isolation of the community. accommodation and home. The challenges of living in There are only 3 services hospitality. Accommodation is such a beautiful part of a day via VLine Bus to and particularly seasonal during are many, and often people are from , Monday peak tourist times, with sharp unaware of the isolation of their through Friday. On weekends, downturn in hours during home until they have a need for that drops to 2 services per winter months. help. day. Some outlying areas • Aging population is more have no public transport, or Some of the challenges faced for prevalent in the coastal towns only one service per week. residents of the Otways are: of our catchment, with Apollo • Permanent rental Bay, Marengo (20.2%) and • Apollo Bay is surrounded by accommodation is extremely Skenes Creek (27%) having the steep hills of the Otway hard to come by, with the well above national average Ranges and access to and cost of home ownership being (13.3%) population over 65, from major towns is time quite high as most of the hence requiring higher health consuming due to this and towns in our area are tourist services for this age group. the winding road access. destinations. (Census 2006) Travel times to Geelong are up to 2 hours in off peak • Permanent full time work is times and are considerably the exception, rather than longer during peak tourist the norm, with the mean times. Inland, the closest average income being well town is Colac, which is one below the national average, hours travel time during and some areas being below off peak times, despite the Henderson Poverty Line, being only 75 kilometres in making home ownership distance. difficult or impossible. 6 Chair of the Board Report

to our local Apollo Bay Ambulance working not only across the Team – Mica Paramedics and organisation but the catchment. volunteers who are vital to We congratulate our Second Sails achieving the feeling of safety volunteers for their countless and and security within our isolated tireless hours of service to result community. in the hugely significant donation as in 2010 - $170,000! To the The Board has now established many other volunteers who work and endorsed the new five year in our Gardening, Bus Driving, Strategic Plan for the period 2011- Aged Care Activities, Meals on 2016. We strive for excellence Wheels we applaud you on your in what we do and to focus on contribution that cannot be bought, continuous improvement. As a contribution driven by care and you travel through the Annual compassion and a desire to support Report for Otway Health you those in your community. will appreciate the passion, dedication and commitment that I commend our Board Members on Otway Health has the challenging has been required to achieve their dedication and commitment task of meeting the needs of our previous plan and what this to the governance of Otway Health. our community throughout the has meant for our community. A I thank my Executive, Peter Hagan significant opportunity has been and Sisca Verwoert and fellow catchment. Otway Health has a the development of the concept of board members. It is with regret network of three Neighbourhood the Apollo Bay Lifestyle Precinct that we farewell Don Gogerly and Houses - Apollo Bay, Forrest and with the availability of the old Philip Britton and we sincerely in 2010 the newly established Ambulance Station, a bequest from thank them for the contributions and District Dorothy Eichenberger and Colac they have made. We welcome our Neighbourhood House. Our Otway Shire’s support to enhance new board members, Susan Hadley Neighbourhood Houses reflect the library services. and Lorraine Harris both of whom bring a valuable range of skills to the identity and the shape of To make these achievements the board. their immediate communities and a reality it takes staff that are are an excellent vehicle to ensure passionate, very committed and I commend the Annual Report that our widespread catchment highly trained to drive home the for 2010-2011 to you as an honest community has a voice. implementation of our Strategic and accountable appraisal of what Plan. In April we recognised the we have achieved. I encourage Our goal to provide medical twenty five years of service of those who would like to make a services 24/7 is a goal many other Faye Rampal, that is a momentous contribution to their community by communities aspire to, but are not achievement and a journey from supporting Otway Health in some able to achieve. what was the Apollo Bay and way. When you are involved you In February a Board Forum on District Memorial Hospital to Otway too will feel that immense sense of Accident and Emergency Services Health and Community Services pride and fulfilment that this Board (now Urgent Care) was held. It and our staff have in what can be Behind our staff there is a strong, brought together a body of people achieved when we work together. innovative leadership Team. To our - representatives of Apollo Bay CEO, Linda West, and her team of Ambulance and Mica Paramedics, managers - Helen Healy (Manager Apollo Bay General Practice Corporate Services), Doris Hamilton Doctors and staff, our Management (Manager Clinical Care) and Maria Team and the Board with discussion Szybiak (Manager Community facilitated by Dr. Charlie Corke of Services). We highly commend the Denise Hooke Barwon Health. staff on all that has been achieved Board President We also recognise and extend our and will be further reflected upon Otway Health sincere appreciation to each of throughout this Annual Report. our Colac Otway Shire Councillors It is with regret that we received and CEO, Rob Small, who have met the resignation of Maria Szybiak with the board each six months; to who will be returning to Western the Trustees of the Apollo Bay and Australia. District Health Foundation for their Behind our organisation is a ongoing support of Otway Health; growing number of volunteers

Otway Health & Community Services report of operations 2010 - 2011 CEO Report 7

Lavers Hill Neighbourhood • Otway Early Years Network House program funding has been • Home and Community Care extended to allow a coordinator Regional Network to be employed to support activities. • BSWRICS= Regional Integrated “Count Us In” an activity based Cancers Service program for Aged Care residents has been extended to seven days • G21 Health and Wellbeing per week to provide assistance Pillar to participate in a wide range of • South West Alliance of Rural activities. Health Misu, our pet therapy dog, now • Towards Liveable visits once a week with her owner Communities Steering Jocelyn, and brings joy and Committee Otway Health Achievements comfort to so many residents. • Your Kids Need You Steering Improvements Otway Health has continued to Committee invest in our facilities and in our • HACC services have been • Vulnerable People Steering staff to improve the physical reviewed and restructured to Committee environment and to plan ahead improve coordination for changing community needs. Otway Health owes a debt of • The Primary Care program gratitude and thanks to staff Facilities has been reviewed with staff for their care and commitment to develop a framework that • Community Services has to our clients and to the many guides good practice. relocated the reception area volunteers, and the Board to increase functionality and • New community feedback members, who all give their time safety. processes have been and effort freely to help keep our community healthy and happy. • A Sensory Garden was implemented developed for residents and • A new Strategic Plan has the courtyard was secured been developed to guide to create a dementia friendly direction for the next five environment. years Chief Executive Officer • A Community Precinct is in • Oracle software for financial development to include the management has successfully I, Linda West, certify that Otway Community Gym converted been adopted Health and community Services from the old Ambulance • Positive Work Environment has put in place appropriate Station. Program is being internal controls and processes • The Precinct also includes an implemented across all areas to ensure that reported data extension Marrar Woorn that reasonably reflects actual • Employee sponsorship has will to connect to an extended performance. Otway Health and enabled skilled, experienced library as a shared space for Community Services has critically overseas staff to be recruited community use. reviewed these controls and to fill employment gaps. processes during the year. • A family home was purchased Partnerships for the GP Otway Health local and regional New services partnerships and alliances are The Child Care Centre fundamental to our day to day Accountable Officer renovations have allowed an operations as well as to our Apollo Bay expansion of child care services future service development. to accommodate another 12 places in a new third room. 8 Services that we provide

Clinical Care Forrest Neighbourhood House Corporate Services Urgent Care 24/7 Grief and Bereavement Support Audits Acute Care Health Promotion Administration Aids and Equipment Hire Home and Community Care Asset Management Beauty Therapy Immunisation Buildings and Grounds Day Respite Care Infant Welfare Cleaning Food Services Program Integrated Services for Young Financial Management Needle Exchange Program Children Fundraising Nurse Clinic Lactation Consultancy Governance Support Palliative Care Lavers Hill and District Human Resources Management Community House Information Technology Marrar Woorn Neighbourhood Aged Care Information Management House Residential Aged Care Infrastructure Maintenance Maternal Health Residential Respite Care Occupational Health and Safety Occupational Therapy Sea Mist Villas Public Relations Parenting Information Quality Improvement Property Maintenance Community Services Risk Management Planned Activities Group Adult and Community Education Second Sails Opportunity Shop Physiotherapy Advocacy, Counselling & Support Senior Citizens Centre Services Social Support After School Care Volunteer Support Centrelink Agency Visiting Services Child Care Centre - Australian Hearing Community Nursing - Financial Counselling Community Welfare - Eyecare2You “Moving Monkeys - now that is Chronic Disease Management a brilliant class! And it reminds - Podiatrist Community Transport me that I must tell you what a Colac Otway Shire Maternal Child Delivered Meals great job Tanya is doing with Health Nurse the tiny gymnasts. Tess loves Dietetics Colac Area Health Drug & Alcohol the equipment, the games and Emergency Relief Nurse being with the children, she Exercise Classes Youth Development Work really enjoys the activities, and Exercise Therapy has certainly increased her Senior Independent Living skills.” Classes

Otway Health & Community Services report of operations 2010 - 2011 Strategic Directions 9

Community Engagement & Engaging & Supporting the Governance Service Capacity People We Work With A service that does what it says By knowing and understanding A service that is committed to it will do through strong and our community we will provide the present and future workforce transparent leadership. access to health and community by valuing, supporting and • Clinical/Medical inclusion at services that will grow our own developing its’ people. Governance level and our community’s capacity. • Supporting a sustainable GP • Succession Planning • Engage in Community model Capacity Building • Due diligence in all processes • Career and workforce • Implement Community development • Sustainable financial Feedback Program management • Carers Groups and • Continue to enhance 24 hour Supporting Volunteers Urgent Care services • Expand services into early Leadership in Partnership & years childhood development, Strategic Alliances youth services, men’s and woman’s health and healthy By actively leading in ageing programs collaborating with others to ensure that service gaps are met. • Develop service integration across the continuum of care • Working in partnership (models of care) with the community, other key health • Focus on supporting people agencies, organisations, after admission, back businesses, local, state and into their own homes by commonwealth government enabling flexibility between to address the community’s ambulatory care and acute long term sustainability and care. wellbeing. • Develop outreach programs • Develop and promote the in identified areas of high voice of the remote/rural/ need and isolation. coastal health services. • Strengthening contractual partnerships. 10 Service Achievements 2008-2011

Health Promotion and Capacity Building Otway Health provided training Area Health, Otway Early Years Community Forums have been in health promotion and capacity Network and Towards Liveable held on health topics such: building for 80% of community Communities project at Colac Managing Diabetes, Cancer, services staff through the short Otway Shire. Drugs and Alcohol , Youth Mental course in health promotions. Health, Menopause, Asthma, Population health programs WorkHealth , Preventative We developed a partnership focus developed with the local Strapping for Sport Play, First to health promotion with area community include; Community Aid for Sport, Personal Alarm networks: G21 Health Promotion Garden, Influence on urban , Dementia. Network; G21 Health Promotion planning, Access to Transport, Leadership Group; local health Early Years Network, Community promotion meetings with Colac Lifestyle Precinct.

Outreach Community capacity building oven for the enjoyment of the Neighbourhood House and 22 for staff was funded as part community. The Neighbourhood community members went on to of the Lavers Hill Project with House hosts the Fire Festival finish the years course at the end FM Consulting undertaking a and the café holds a community of 2009. needs study with the Lavers lunch every Thursday and also HACC service delivery outreaches Hill community. The Lavers Hill operates as an internet café. The to Forrest and Lavers Hill NHH Community committee was Forrest Neighbourhood House is also a venue for outreach established and now operates has run Adult Education Courses services . Physical Activity as the committee for the for the Forrest Community. Programs in Forrest developed Neighbourhood House with a The Certificate 3 in Aged Care with Otway Health input: Gentle part time coordinator funded by has been completed and a Exercise Group, Yoga, Dance Otway Health. number of staff form the course Group, Mountain Bike Club. have been employed at Otway In 2009 Forrest Neighbourhood Physical Activity Programs Health. The first semester of House, supported by Otway in Lavers Hill developed with Certificate 2 in Visual Arts has Health, received funding to Otway Health input: Warm Water also been completed at Forrest create a café kitchen and pizza Exercises.

Volunteers Second Sails Auxiliary The Gardening Group are taking involved with the ‘Count Us In constitution was reviewed and a more active role in rejuvenating Project’ which is a participative amended to ensure Second Sails the Otway Health gardens on diversional therapy program for volunteers are members and site. They now have a shed and residents. Volunteers are also involved in decision making. The equipment on site and some helping with community exercise new Auxiliary is guided by the residents are working with them classes . Second Sails Coordinator and on occasions in the garden. The The Meals on Wheels volunteers her hours have been increased. Men’s Shed assist other groups deliver meals daily and bring All volunteers receive identity with carpentry requirements. some companionship to many badges and introduction packs Colac Do Care provides every older people in the community containing information about resident with a friendly Otway Health. visitor. Volunteers are actively

Otway Health & Community Services report of operations 2010 - 2011 Service Achievements 2008-2011 11

Indigenous Community Engagement with our indigenous and a flag raising ceremony of Funding was gained to enable community has been a significant the indigenous flag. an indigenous painting to be focus. Funding was provided commissioned by local indigenous Local indigenous community by Department of Planning and people for the exterior of Marrar members honoured Otway Health Community Development to Woorn. Staff are now involved in by smoking the newly acquired improve indigenous engagement the Indigenous surf camp every Aboriginal flag and by raising the activities such as painting of an year and Otway Health provides flag over Otway Health for the indigenous mural, launch of mural funding to support the camp. first time.

Partnership New partnerships and alliances the aligning of shire, regional The Otway Early Years Network such as the HACC Alliance and local public health plans to (OEYN) has been established in and Early Years Network are support partnership development response to data demonstrating facilitating agencies working and effective advocacy. The developmental issues for local together to meet unmet needs Community Health Promotion children. OEYN consists of for specific client groups. Network continues to support members from the preschools, activities and directions for schools and child care in the The HACC Alliance has worked Health Promotion. In response OHCS catchment. Achievements successfully to produce a manual to discussions in the Network, have included: the successful of shared practice. 3 community forums have been implementation of the Brigance The Health Promotion Officer held, with ongoing partnerships Screening Tool and a Structured is working with members of the developed with regional Active Play Programme. In Colac Otway Shire, Colac Area organisations in response to addition, OEYN has attracted Health and Colac Neighbourhood these forums. Community service providers from the region Renewal to develop a shared feedback has guided the direction including Glastonbury Child strategic direction for Health for the 2009-2012 Integrated and Family Services and Deakin Promotion across the Colac Health Promotion Plan, currently University. Otway Shire. The result will be in development.

Youth A Youth Development Worker with the teenagers. In partnership education day for Yrs 7-12 around was engaged to determine with Geelong Family Services, safety issues to do with drugs priorities for young people in the we ran two successful parenting and alcohol leading up to the catchment area and to conduct programs which ran over a period Apollo Bay Music Festival and a young people needs study and of 4 weeks each for parents also provided volunteer work follow up projects. needing support in late 2010 and on the nights over the festival again in early 2011. in the ‘Chill out Tent’ providing A mentoring program for young assistance to youths in need. women has been established at Over school holiday periods we Otway Health to provide support have organised activities and We have made numerous local and engagement of girls in years drop in days for young people partnerships and make up a part 7-9 at Apollo Bay P-12 College. to attend, further strengthening of the Youth Club Committee, relationships. the Welfare and Parents and Otway Health responded to Friends Committee with Apollo requests from parents in the Otway Health in partnership with Bay P-12 College to improve community who needed support Apollo Bay P-12 College ran an links with the wider community 12 Service Achievements 2008-2011

and to work together to build funded by Cafe Meals Club and together. Currently they can strong foundations for our youth will be supported here by Otway participate in indoor soccer, to develop to the best of their Health and our local businesses. pool, table tennis, basketball, Wii potential. and can use all the facilities of Otway Health has worked the Youth Club. They have their We have also been looking into extremely hard on developing own room and couches to spend the nutritional needs of our our relationship with the Apollo time together, play music and young people and have developed Bay Youth Club to improve access participate in cooking. partnerships with ‘Time For for young people in Apollo Bay Youth’ and ‘Colac Connections’ after 87% of young people who We have recently been successful which assists young people with responded stated that they in a grant application with Colac their nutritional needs. With needed a warm, safe place to Community Enterprises and partnerships we have formed, hang out. have purchased a new domestic ‘Cafe Meals Club’ are able to oven, cook top and range hood We now have a regular ‘Drop- financially assist young people to to assist with part of our planned in Night’ on a Friday night eat healthier meals and provide Independent Living Skills for our youth that provides a a warm, safe place to eat. This Program and have begun cooking safe, healthy and supported will be an ongoing program for classes at the Youth Club. environment for youth to be those youth in need in Apollo Bay

Children The Child Care Centre has been Care and Prep. Otway Early Years is fully utilised in Apollo Bay renovated and a new room Network continues to encourage for children from 0 – 6 years registered to allow for growth partnership development with and development records and after school care and holiday early childhood agencies and shared across Apollo Bay Early programs as needed. utilises AEDI data to make Childhood agencies. decisions for early childhood Brigance Screening commenced health, the Screening Program for all children in Preschool, Child

Men The Men’s Shed continues to The Men’s weekly lunch hosted by A new Men’s Planned Activity provide equipment and tools the Community Welfare worker Group has been established to and a place to meet to chat and provides support and friendship. provide support and activities for create. older men in the community

Otway Health & Community Services report of operations 2010 - 2011 Service Achievements 2008-2011 13

Dental Advocacy for outreach dental A mobile dental service for Lorne, been implemented in Apollo services has resulted in research Apollo Bay and Winchelsea has Bay and Lavers Hill. The Otway being conducted by the Dept of been included in the Oral Health Health Service Directory now Health in Apollo Bay and Lorne to Plan for the Barwon South West includes information about how determine dental health needs in Region. to access public dental services in school children. Colac. ‘Smiles for Miles’ is a small Results indicate that many Apollo funded dental hygiene program Bay children are not receiving introduced for Preschool children regular dental care. by Otway Health staff that has

Medical Provision of 24/7 cover in Urgent WorkHealth Program for Otway in Apollo Bay, has resulted in the Care Unit has been maintained Health Staff, LIFE! Diabetes development of a good working and improved accommodation Program for pre-diabetes relationship and the provision of has been provided for permanent participants.The Better Health education to the nurses for the General Practitioners contracted Self Management Program has Urgent Care Unit. The Urgent to Otway Health been introduced to assist those Care Unit and Nurses Station has living with Chronic Disease to been upgraded to provide greater A Chronic Disease Management understand and manage their security and privacy for nursing Service was established 2009 symptoms. Most chronic disease staff. utilising Community Health management programs and falls Nurse. Emergency Asthma Clinical training has been prevention programs require GP education has been provided for implemented through the aged referral or clearance and thus school students in our catchment care channel and SOLLE, an partnerships between primary and in Colac (as there is a large online learning program and care staff and GPs are paramount catchment of older students that links have been made with Lorne to the success of programs. attend Colac Trinity College). community hospital for advanced The location of the new life support training. Specific Programs include: Ambulance station on site, with a WorkHealth Screening Program, permanent paramedic stationed

Service Intergration Falls prevention assessment and consultant, provision of delivered update pathways for service programs are provided to the frail meals and home care services as coordination and resulted in aged residents by community well as maternal and child health internal and external case services staff. Integration of nursing services. conferencing mechanisms. services for falls prevention in the The Active Service Model Multidisciplinary Case community was undertaken as mandated by Department of Conferences occur: Six weekly part of a partnership project with Health is being implemented in with Apollo Bay General Practice Hesse Rural Health and funded by the HACC team which improves GPs, Six weekly with internal the DHS ‘Make a Move’ funding. service pathways for better client primary healthcare team and An integrated Maternity Service outcomes and utilises services Monthly via Clinical Advisory is provided to mothers with new outside the HACC Team. G21 Committee Quality Workgroup. babies in Apollo Bay and includes Service Coordination Project the services of a lactation reviewed referral and progress 14 Our Board

Members of Otway Health’s Board of Management serve in a voluntary capacity, are appointed for a period of three years, and are eligible for re-appointment. The Board reviews operating information monthly in order to continually assess the performance of Otway Health against its’ objectives and is also responsible for recruiting and evaluating the performance of the Chief Executive Officer. The Board is the organisation’s major policy making body and, while the members are responsible for overseeing the strategic direction and governance of Otway Health, members do not participate in day-to- day management. Rather, members provide an overview and a monitoring role to: • Review and monitor strategy, finance, quality and risk; • Ensure that the services Otway Health provides comply with the objectives, mission and vision of the organisation; • Formulate strategy and governance policy; • Ensure the value and future sustainability of the organisation; The balance of skills and experiences within the Board is kept under continual review, and to ensure the Board maintains its ability to undertake its role; members participate in ongoing education programs.

DENISE HOOKE NINA BROOKS August 2007 - ongoing (President) July 2009 - ongoing A teacher at Lavers Hill P-12 College, Nina has been coming to Apollo Denise has an interest in governance Bay for 32 years, Nina’s 15 years and community leadership and a experience in Human Resources has passion for the environment. added value to governance and the diversity to the Board. PETER HAGAN June 2007 - ongoing DON GOGERLY (1st Vice President) July 2009 - ongoing Having retired to Apollo Bay in 2004, With nearly 20 years banking and Peter is busier than ever, working risk management experience while tirelessly as a volunteer and driving working with the National Australia the community bus. Bank, Don enjoys sharing his wealth of experience. SISCA VERWOERT August 2007 – ongoing SIMON RALTON (2nd Vice President) July 2009 - ongoing Sisca’s experience in child protection Having a business background, and social support, as well as her Simon feels Otway Health needs to art, bring an extra dimension to the ensure the community needs are Board. recognised and met. PHILLIP BRITTON August 2007 - ongoing A teacher at Apollo Bay P-12 College and a member of School Council, Phillip has a particular interest in Adult Education and Primary Health Care.

Otway Health & Community Services report of operations 2010 - 2011 Our Board 15

Under Otway Health By-Laws, the Board may establish such committees as it considers necessary or convenient to provide assistance to it in carrying out its functions. This year the Committees included:

Audit Committee CEO Management Committee • monitors risk management, the financial • measures the results delivered by the CEO in reporting process, the independence and accordance with Otway Health’s Strategic and scope of work and performance of the other triennial Plans, conducts the annual internal and external auditors. appraisal of the CEO. Members July 2010 - June 2011 Members: July 2010 - June 2011 Peter Hagan (Chairperson), Denise Hooke, Don Sisca Verwoert, Denise Hooke, Nina Brooks Gogerly, Ian Richardson (Community Member)

Finance Committee Capital Strategic Plan Working Party • monitors significant financial planning, • investigates and facilitates the further management and reporting matters, makes development of Otway Health infrastructure recommendations and delivers reports to the by working with architects to design Board renovations and additions to existing buildings, considers cost effectiveness and Members: July 2010 - June 2011 practicality Peter Hagan (Chairperson), Denise Hooke, Don Members: July 2010 – June 2011 Gogerly, Nina Brooks, Simon Ralton Simon Ralton (Chairperson), Denise Hooke, Peter Hagan, Phillip Britton

Conclusion Otway Health’s Board of Management will continue to focus on the long term strategic goals of the organisation. We are fortunate to have a high level of support from the Department of Health at both regional and state level.

Responsible Ministers Otway Health has a joint agreement with both the Commonwealth and Victorian Governments. The responsible Ministers are the Hon Nicola Roxon MP (Commonwealth Minister for Health and Ageing), the Hon Mark Butler MP (Minister for Mental Health and Ageing), the Hon Warren Snowdon MP (Minister for Indigenous Health), and the Hon Catherine King MP (Parliamentary Secretary for Health and Ageing). From July 2010 to November 2010 the Hon Daniel Andrews MP (Victorian Minister for Health) and the Hon. Lisa Neville MP (Minister for Mental Health, Minister for Senior Victorians, Minister for Community Services). From November 2010, the Hon David Davis (Victorian Minister for Health, Minister for Ageing) and the Hon Mary Wooldridge MP (Victorian Minister for Mental Health). 16 Our Team

Otway Health and Community Services is committed to the principles of merit and equity in the workplace with respect to employment, promotion and opportunity. Otway Health employs on average 91 staff members, who work either full time, part time, or casual. Year to date at 30 June 2011, we had 58.68 full time equivalent staff (FTE).

Organisational Structure

The Board

Chief Executive Officer

Second Sails Executive Public Relations and Co-ordinator Assistant (OSO) Fundraising Officer

Manager Corporate Manager Clinical Care Manager Community Services Services

Accountant Apollo Bay Marrar Woorn AFTER HOURS CO- HOME CARE CO- Neighbourhood House Finance Officer General Practice ORDINATORS ORDINATOR Co-ordinator Community Nurse

IT Manager Home Carers Forrest Neighbourhood Physiotherapist House Co-ordinator GP'S contracted NURSE UNIT MANAGER Occupational Therapist Human Resources for Emergency PAG Assistant (OSO) Care Unit Associate Nurse Unit Co-ordinator Lavers Hill Neighbourhood Managers House Co-ordinator Community Health Records Clerks Aged Care Nurses PAG Assistant Nurse Quality Officer Personal Care HACC Admin Community Welfare Attendants Assistant Worker Administration Volunteer CHILD CARE CENTRE CO- Maternal Child Health Div One Nurses Assistant Co-ordinator ORDINATOR Nurse Count Us In Customer Services Child Carers Health Promotion Officer Assistants Officer Maintenance Beauty Therapist Manager Allied Health Assistants YOUTH COMMUNITY DEVELOPMENT WORKER Maintenance CATERING OFFICER Dietitian Assistant Cooks ORGANISATIONAL CHART Accepted on Kitchen Assistants 27 June 2011

Labour Category: June Current Month FTE June YTD FTE 2011 2010 2011 2010 Nursing 20.42 20.88 17.55 19.51 Administration and Clerical 11.03 13.37 11.56 11.79 Medical Support 8.31 9.09 7.13 8.35 Hotel and Allied Services 15.15 14.44 12.18 14.46 Ancillary Support 3.77 2.38 2.84 2.46

Otway Health is committed to embedding the principles and values of the Victorian Public Sector Employees code of conduct. Employees are treated fairly and with respect, and are encouraged to contribute to an environment that is free of discrimination, harrassment and bullying.

Otway Health & Community Services report of operations 2010 - 2011 Our Team 17

Executive Management Team The Management Team is responsible for operational performance in accordance with the Strategic and Service plans. Throughout 2010/2011 the Management Team consisted of:

Chief Executive Officer Manager Clinical Care Linda West Doris Hamilton

Manager Community Manager Corporate Services Services Maria Szybiak Helen Healy

Staff Satisfaction Every year in October, Otway across all Divisions. The Positive affordable massages to maximize Health conducts an internal staff Work Environment Program was physical and emotional wellbeing. satisfaction survey. introduced this year with all staff The “Going Beyond the Call participating. The program allows The results indicated that staff of Duty” awards have been reflection and input from staff are highly committed to Otway introduced to acknowledge around organisational values and Health and their clients and that the staff who give beyond communication issues with the they appreciate opportunities expectations to support their aim of creating an environment to work together and to be clients and colleagues. So far that provides as much support as consulted about issues affecting sixteen vouchers for a dinner at possible to staff. them. Communication and a local restaurant and certificates opportunities to work effectively The Work Health Program have been awarded to staff together in teams, remains an enables staff to take 15 minutes a across all divisions. area on which to build to enhance day out of work time for exercise integrated activities, recruitment and to match it with their own and retention and ensure stable time. The 5 Year Workforce Statistics (FTE) staffing. program is growing and 58 Staff felt supported by the helps to improve 57 management team and their overall physical open door policy enables direct 56 wellbeing of staff resolution of issues and concerns. 55 and shows that 54 The general staff and divisional Otway Health FTE Staff FTE Staff 53 meetings are well supported and values its staff. staff training workshops were Staff also utilise 52 utilised to develop skills and the subsidized 51 enable middle management staff massage 50 to share information and to work program that 49 together on issues. provides all staff

with access to 2011 2010 2009 2008 2007 Morale has steadily improved 18 Our Team

Staff Training and Development • Aged Care Channel • Hand Hygiene • Food Safety & Kitchen -Wound Care (Skin tears) (Carol Rosevear – Infection Hygiene -Dementia Prevention Australia) • RiskMan Incident Reporting -Dispute Resolution • Strategic Planning • Team Building -Sensory Loss (Doris Hamilton) • Victorian Early Years -Advance Care Planning • Cervical Collar & Learning and Development -Heart Failure Immobilization (Tony Mandic- Framework -Pain Ambulance Victoria) • Epi-Pen Training -Falls Prevention • eWebster (MedsComm) • Ana-Pen Training • Medication Management and • Comprehensive Medical • Review of Centre Philosophy Do’s and Don’ts of Medication Assessment & Goals. Administration (Neil Petrie) (LaTrobe University) • Emergency Management • Dietician Discussion and • Basic Life Support Train the Training Information Sharingz Trainer (Colac Area Health) • National Quality Framework (Aneill Kamath) • Documentation education • Early Years Learning & • Diabetes Management specific to Urgent Care Development Framework (Mich Cox) • Online hand hygiene • Child Wise Mandatory • Wound Care (Gay Kelly) • Role of the RN Div 1 Reporting • Infection Prevention • Records Introduction to • Fire Training In-service’s Storage Standards • Infection Control (Carol Rosevear-Infection • Cert III in Business • Staff Professionalism Prevention Australia) Management (Records) • Privacy Laws • Continuous Improvement • Cert IV in Business • Bachelor of Early Childhood Register & Education Management • Advanced Diploma of (Doris Hamilton) • Diploma of Management Children’s Services • Quality Education-Plan, Do • Fringe Benefits Tax Annual • DEECD Innovation Showcase Check, Act (Doris Hamilton) Update • National Quality Framework • Nurse Clinic- Wounds and • ORACLE & Children’s Services Documentation • PJB Regulations 2009 • Australian Triage Scale • Working at Heights • Administration of an • Riskman Training • Working in Confined Spaces Adrenalin Auto Injection • Palliative Care Pathway • Test and Tag Device & Care Plan Review • QICSA – How to be an internal • Guiding Children’s Behaviour • ECG (ST waves) Contact • FKA Study Visit • Chest Pain Management • Diversitat • Positive Culture Workshop & Rapilysin (Tony Mandic- • Certificate lll in Children’s • Childcare Management Ambulance Victoria) Services System Seminar in Geelong • Ambulance Immobilization • Bachelor of Teaching • Administration of an Equipment (Tony Mandic- (Early Childhood) Adrenalin Auto Injection Ambulance Victoria) • CPR Device • Skype, Google & E-mail • Health Promotion (Deb Tovey) • Raising Children in More Than • Manual Handling One Language (Cheryl Biddle) • Manual Handling

Otway Health & Community Services report of operations 2010 - 2011 Our Team 19

Staff by Department as Liz Smith Mark Spisbah at 30 June 2011 Maria Szybiak Rosemarie Stoeckli Phil Townsend Dion Thomas Corporate Services Jenny Watt Debbie Tovey Jenny Turnbull Kim Bazell Clinical Care Jennifer Whitwell Nadia Cook Rita Abraham Zhezhi Zhang Gail Darling Daniel Armstrong Jessica Elliott Lorraine Biddle Those Who Left Us Karen Hansen Michele Brew 2010 / 2011 Helen Healy Bebs Buchanan Luke Lalor Corrie Carson Corporate Services Sarah Lane Marlie Coutts Dominic Brown John McBride Claire Davis Amber Noseda Leanne Rochford Rachael Darling Bill Shields Arie de Leeuw Clinical Care Andrea Thomas Emily Falla Riahna Armstrong Linda West Jack Fillmore Christiane Dubouis Michelle Fillmore Merryl Eastgate Community Services Bill Fraser Danni Elliott Will Adams Sue Frydman Shane Livesey Josie Ahearn Doris Hamilton Susan Mackay Josie Barr Lyn Harrison Erika Nash Cheryl Biddle Vicki Hughes Faye Rampal Gillian Brew Helen Garner Judy Ryan Marni Briffa Tania Gaylard Mark Spisbah Tanja Brunner Neika Geekie Julie Wright Belinda Campbell Marcia Gleeson Diana Carter Fern Heland Food Services Michelle Cox Lyn Harrison Jacinta Barrow Katherine Cust Evan Hill Jacinta Coutts Polly Day Lynette Horton Bill Fraser Jocelyn Dexter Steven Hughes Mitchell Fraser Diane Earl Loren Jenkins Megan Grey Louise Fairney Gabrielle Kelly Helen Harrington Marita Kennedy Community Services Karen Holdsworth Genevieve Kleindienst Jessica Dorney Sheila Johnson Judith Lawler Wendy Hart Karen Jordan Monique Melis-Cooper Billee Irving-Trew Kirsty King Alexandra Montague Nicole Langtip Fiona Macaulay Marie Murnane Janice Livesey Katrina McKellar Sally Neaves Leeanne Marriner Christine McKenzie Hayley Newman Tania Morse Shirley Mason Gail Palmer Sam Puddy Brigette Moore Lyndsey Petherick Craig Stevens Ann Missen Dorothy Riches Karen Washfold Leanne Prestipino Kara Robbins Alison Winter Fern Rainbow Toni Rooke Kate Sculley Lisa Smith Marie Sinclair Nathan Smith 20 Community Services Report

Child Care and participates in monthly Otway Early Years Network “Over the past nine years After extensive renovations in meetings to ensure the smooth all three of my children have 2009-2010, Child Care has been flow of communication between spent time at the centre and steadily working towards opening Maternal Child Health services, all of them have enjoyed their a third room in the centre during Apollo Bay Children’s Centre, experiences. However, none 2010-2011. The centre applied Apollo Bay Preschool and Apollo more so than Charlie. Aside for and received a Variation of Bay P-12 College. This has also led from spending more time with Licence from the Department of to increased staff participation in you than his brother and sister, Education and Early Childhood Colac and Geelong networks. he has been fortunate enough Development (DEECD) allowing to be enrolled during a time in us to operate from 3 rooms and 2 The implementation of the which you have managed the outdoor yards with 42 child care Victorian Early Years Learning service and ensured it is staffed places (up from 32 places). This is and Development Framework with people who obviously love a huge achievement and ensures (VEYLDF) has changed the way their work and the children that the centre will be able to childcare centres operate with they so beautifully care for. cope with community growth a push to move away from the The programming has been over the next 10 years. babysitting model of care to a exceptional and helped foster curriculum based educational After School Care and Vacation Charlie’s endless curiosity and setting. The introduction of the Care has also attracted a number passion for learning; making national Early Years Learning of new families to the centre with friends and generally having a Framework has also seen staff children up to 12 years of age great time! adapt our programming methods being cared for. This program is and increased training has been Your literacy programs have slowly building and is expected to needed to keep up to date in all helped set him on a path of increase in numbers as current areas. creativity and discovery, and families move from the centre most importantly everyone to school and continue utilising Effort has also gone into who has cared for Charlie our services. Our focus is on building inclusive and culturally has provided a secure, fun building our stock of resources diverse activities into centre environment in which he has for the older age group and programming. Staff have learnt how to make friends and implementing programs that accomplished this by liaising with set out on his own journey. interest and accommodate their the Barwon Inclusion Support needs. Agency (BISA) in Geelong and Charlie will no doubt be back FKA Children’s Services Inc in from time to time for After- As part of our Strategic Planning, . Two mobile resource School Care but my entire childcare has focused heavily libraries now visit the centre bi- family will miss being part of on succession planning during monthly and provide the centre the centre on a regular basis, the past 12 months and this with toys, books, posters, musical and we will especially miss the has allowed the Child Care CD’s and a number of resources. wild and crazy stories Charlie Coordinator to step into other Staff are also provided with weaves at the dinner table when roles as a relief manager in Home assistance in policy development he relays the day’s events.” and Community Care and as and program implementation. Acting Manager of Community Services. It has also ensured Our staff are very committed to that the Child Care Centre has the centre and continue to set Feedback received from parents on a minimum of 2 staff trained to and maintain high standards of the new Shell Room: take over the Coordinator’s role if care. They are looking forward to “Oh, it’s so bright and such a sunny she is absent. implementing further changes room.” due to the child care regulations Our centre continues to “Wow, love the room. Look at all and accreditation system when liaise with early childhood the new toys!” the National Quality Framework is professionals in our local region introduced in 2012. “Love the outdoor yard and the new cubby, oh and the lounge!”

Otway Health & Community Services report of operations 2010 - 2011 Community Services Report 21 volunteers & second sails opportunity shop

At Otway Health our volunteers in Apollo Bay, Forrest and Lavers Hill invigorate our ‘People First Service’ through their generous and committed action. At many levels of our service you can find volunteers reaching into our community and providing support with warmth, good-will and integrity. You will find our volunteers immersed in roles where they utilize their skills or learn and strengthen new skills: Gardening, maintenance and design Driving community members to But that is only part of adequately and appropriately health appointment outside town the story… then there are linked with Otway Health’s the hidden treasures that directions and plans. We will Cooking and food preparation for volunteers give to us and our be securing new opportunities social events, such as the popular community that lie behind for volunteers and allowing community lunch in Forrest these actions… ourselves to be seen, recognized Meeting and greeting customers, and appreciated by a wider • Providing a cheering word to sifting and sorting items in community. We intend on someone feeling down preparation for sale, creating offering more courses to help our a warm and interesting retail • Making a hot drink for a volunteers to expand or refresh environment at our opportunity colleague while on the job their skill set. shop • Planting a bulb in a space Delivering meals from our kitchen where someone will enjoy to community members and appreciate the colour “At the dawn of the new millennium, volunteering is Supporting and assisting our • Making someone laugh when an essential element of all program leaders across different you are cold and wish you societies. It turns into practical, areas such as Moving Monkeys were at home effective action the declaration (an exercise and mobility class • Acting responsibly for the of the United Nations that “We, for toddlers)or with our Senior good of another even when the Peoples” have the power to Independent Living Class ( an that means putting in more change the world.” exercise and mobility class for than you intended seniors) “Volunteering is a fundamental • Working as a team to get the building block of civil society. Visiting and socialising with our job done even when you don’t It brings to life the noblest residents feel like it aspirations of humankind - the Reading, discussing, negotiating pursuit of peace, freedom, • Turning up consistently and researching in Governance opportunity, safety, and justice because you understand that of our service through becoming for all people.” is what it takes members of the Board of (Universal Declaration on Volunteering, Management Over the next year we will be adopted by the Board of Directors of the reviewing and strengthening International Association for Volunteer These are the obvious, the seen, our volunteer processes, Effort (IAVE), January 2001, The and the more easily recognizable Netherlands.) ensuring that our volunteers are actions. 22 Community Services Report

Health promotion The current Health Promotion • Having secure housing, • Reaching out to older men Programme focuses on employment and being able in the community through Promoting Mental Health and to make choices about life activities such as the Men’s Wellbeing.. Shed and Monthly Men’s In the past year we have targeted Lunch the first two building blocks, with activities and projects including: We’ll continue to find ways to What is mental health and support community life, and wellbeing? • Bringing women together would love to hear from you. As with the Otway Ladies Night Just as physical health is more part of an ongoing conversation and Mini Field of Women than ‘not being sick’, mental with the community, the Health event health is more than not having a Promotion Team is currently mental illness. • Partnering with Apollo Bay exploring how we can better P-12 College for the girls Building blocks for mental health support families with young mentoring programme include: children to live healthier, happier lives. The information we collect • Supporting ‘Walk Safely • Feeling part of a community will help us to adapt current to School Day’ through health promotion activities, plan • Being part of an active providing a healthy breakfast new projects and make sure community and being active on the foreshore and that we’re providing what our with others organising a visit from the Go community needs. • Feeling safe, secure For Your Life Bus and respected in your • Supporting families to be relationships, home and physically active through the community ‘Moving Monkeys’ kids gym sessions

Otway Health & Community Services report of operations 2010 - 2011 Community Services Report 23

Maternity Services & Parent Support Program

Otway Health runs a Parent your return home after the classes, delivered meals and/or Support Program and this is birth. domestic service assistance. enhanced by the services of the • Home care – washing, Family Services this year Maternal and Child Health Nurse cleaning, ironing. concentrated on linking in with that visits on Mondays from other services at Otway Health to Colac Otway Shire. Our program • Lactation consultant to help create a truly holistic experience encompasses: with advice on breastfeeding. for families and ensure that the • Antenatal classes becoming • Postnatal midwife visits – journey home for all new mums a star attraction for many one or two home visits as and dads is an enjoyable one. mums and dads –to-be with required. the more classes held this Almost all new borns in Apollo year than previous years. Bay participated in the Family • Family meals – two family Services Program whether it be meals for the whole family on ante-natal classes, post-natal

Community health nurse

The Community Health Nurse developed programs such as the new clinic will work with people (CHN) at Otway Health offers WorkHealth Program, community individually to explore effective assessment, education and asthma education and the Life- ways to manage their addiction support to assist people living diabetes prevention program. through both behavioural and with or at risk of a chronic illness, These programs address some pharmacological (patches, gum with particular focus on diabetes of the contributing factors within etc) means. GP support will be and respiratory conditions such our community that lead to encouraged. as asthma and COPD. In 2010-2011 chronic illness. The CHN is available Monday- the CHN continued to provide In 2011-2012 the CHN will increase Thursday and appointments individual counselling with an the capacity of the service can be made through reception. increased number of clients through the introduction of a Keep an eye out for upcoming attending for health coaching- smoking cessation clinic. Tobacco community presentations and focusing on making healthy use itself is a complex chronic events. Alternatively, you can call lifestyle changes to decrease condition. Contrary to popular her on 5237 8574 or drop into the the risk of, or manage a chronic belief, quitting smoking takes Community Services building. condition. The CHN also further a lot more than willpower. The 24 Community Services Report

Community Development Worker for Youth Our Community Development to an expressed need in 2010 our youth as the Drop-in night Worker for Youth was employed and 2011 over a 4 week period develops. in June 2010 to develop to assist parents with teenage We have also developed relationships with, and an children and this will be an partnerships with ‘Cafe Meals understanding of, the needs and ongoing program as community Club’ which assists young people wants of young people in Apollo needs demand. with their nutritional needs Bay. The Youth Club has worked in and with partnerships in our Over the past year we have partnership with Otway Health in community they are able to held a wide range of community providing a venue for our regular financially assist young people to consultations and conversations Drop-In night which now runs eat healthier meals and provide a to hear the thoughts, ideas successfully every Friday night warm, safe place to eat. This will and issues from all concerned for young people. be an ongoing program for those community members and have in need funded by Cafe Meals It provides a safe, healthy and begun the process of responding Club. supported environment for our to these expressed needs. youth and again is in response The process of developing Otway Health has developed to an expressed need by both relationships and supporting our strong partnerships with other young people and adults in the youth and their needs and wants youth networks in the region community. will be ongoing. We’ll continue to to highlight and promote the engage and support the young We aim to slowly improve the needs of our youth and to ensure people in our community and environment and build the project ongoing development, support welcome continued input from all up to provide a wide range of and wellbeing within our Shire. members of our community, in classes and supported activities particular, our youth. Two successful Parenting which will aim to promote programs were run in response overall health and wellbeing for

HOME & COMMUNITY CARE Otway Health has strived to • SILCs (Senior Independent range of meals provided, the time improve HACC services over Living Class) is for those the meals are delivered and how the last year. There have been a wanting to regain a little they are delivered. number of reviews resulting in: balance in their life Property Maintenance and the • An increase of staff levels to • Active Balance is dynamic finance components of the HACC more than that in the last five and fun moving class for service were reviewed to improve years those that want to maintain the efficiency and resourcing of balance and physical stamina the services. • An increase in community transport services • The Men’s Lunch happens at HACC services have the local pub every two weeks also embraced the State • Recruitment of new HACC where the senior fellows of Government’s roll out of the Coordinator our town can catch up over a Active Service Model. This model • Recruitment of a new good meal. looks at putting the client first Volunteer Coordinator and planning programs and goals • Men’s Activity Group also with the clients that make living • Recruitment of new Planned meet every two weeks and life better. For example, shopping Activity Group Coordinator participate in a range of with the client instead of for the and Assistant excursions and activities client, preparing meals with the Otway Health has increased A survey of meals on wheels client instead of simply giving the number of activities and and volunteer coordination has meals to the client. programs for people over the age given us a range of community of 65 with a transitional physical feedback to improve services activity and balance class: and programs. This included the

Otway Health & Community Services report of operations 2010 - 2011 Community Services Report 25 physiotherapy

The Otway Health Physiotherapy improve skills and have agreed team now has 3 Allied Health to an annual set of competencies Feedback from our Active Assistants – each with separate to ensure relevant skills are Balance Class – designed skills and areas of expertise but maintained. by a physiotherapist, and all able to assist community implemented by our Allied Pilate’s classes have been well members with specialised Health Assistants. received over the past year and exercise programs in their own supervised warm water exercise • “Gives you an idea on how homes. The Physiotherapist now classes will be resuming in to maintain balance. Things works in Apollo Bay 3 days each September. We are also planning you may not have thought week (Monday, Wednesday and on being able to deliver more of before. Very good social Thursdays) and is sub-contracted exercise sessions internally group and get together” out to Lorne on Tuesdays and over the next 12 months to our Fridays – helping to strengthen • “This class has been residents and clients. the bonds between Otway wonderful and I look forward Health and Lorne Community The aim of the team continues to our Tuesday. The people Hospital. The Physiotherapist to be “To assist all members to are so caring and only have continues with frequent the community to achieve their our (best) interest at heart. I professional development and maximum potential in physical have improved so much.” has commenced a Masters health” and we enthusiastically • “Staff very helpful and Degree in Public Health, and been embrace new ideas to increase caring. Notice my balance fortunate to receive a scholarship the reach, scope and efficiency of has improved. No falls. Enjoy from the Victorian Healthcare how we do this. the company. Eye focus has Association to assist with the improved. Finished one 15 costs involved in returning to week course, back for more. study. The team now has regular (I am) spreading the word on meetings to share knowledge and what is available.” 26 Community Services Report

Occupational Therapy

The Occupational Therapy Providing a local service for any Moving Monkeys, a children’s program focuses on assisting of the above programs means motor skills program continues to people to stay at home, that local community members be delivered by the Occupational by assessing clients home do not need to travel extensively Therapist with support from environments and providing for Occupational Therapy the AHA. The plan over the recommendations for home services. The Allied Health next twelve months is to ensure modifications or assistive Assistant supports the program that this becomes a sustainable equipment. The Occupational by either assisting with following program in the community. Therapy service at Otway Health up on prescribed equipment also provides assessments and or delivering a home program programs for children who may prescribed by the Occupational be experiencing developmental Therapist. An integral part of the difficulties both at home or service is to continue to support school. Recognition of the hand community members in accessing therapy program has continued to appropriate funding for home occur, with an increasing number modifications or equipment. of referrals from Barwon Health.

Otway Health & Community Services report of operations 2010 - 2011 Community Services Report 27 community nurse

Community Nursing at Otway refer on to other services so care • Building a framework for Health continues to help people can be coordinated for better practice in community live well at home longer, providing quality of life for the client. nursing. a range of tasks from wound This year, the Community • Reviewing the position, management to Advanced Care Nursing Program has explored making the Community Nurse Planning. systems and processes that responsible for all personal As people stay at home longer, improve quality of care for all care needs in the community. there is an increasing need for demographics. • Implementing the Active higher intensity generalist care; Changes in the Community Nurse Service Model across the as well as an increased need to program include: Organisation.

The following letter to the Apollo Bay News Sheet on November 11th 2010 succinctly shows how all these services within our community services division work together to help people to recover from ill health, or to maintain good health: “The Editor, Thank you to Otway Health. Our family has been greatly indebted to Otway Health over the past month, they have such a wonderful service which provides special caring home care for people requiring special home treatment. On the 7th August, Jack unfortunately had an accident in a Melbourne restaurant by missing a step, where falling resulted in a broken hip and torn shoulder muscle, spending four weeks in St Vincent’s hospital. Arrived home and was progressing well, he unfortunately had a setback which resulted in a three week stay in Geelong hospital. After the setback, Jack was unable to move and in extreme pain, the ambulance was called, the two wonderful paramedics were magnificent handling him with the utmost skill and care. On arriving home, we have had the benefit of Anne Missen (the Community Nurse) who comes three times per week for showering, always so bright and cheery. Cheryl for physiotherapy who has Jack back up on his feet. This treatment is now being continued by Cheryl’s assistant (Allied Health Assistant) Liz who comes twice a week. Their physiotherapy is equal to that of the large hospitals. Tania, the occupational therapist who had recommendations for the home. All this care has Jack off the frame and he has progressed to a walking stick, all done in our own home with caring, skilful, bright, cheery people. Thank you to these people and to Otway Health for providing such a wonderful community service. Avis and Jack Coles.” 28 Community Services Report

COMMUNITY WELFARE OFFICER

Counselling, advocacy and anxiety , depression and other People needing assistance general welfare services are mental health issues. can contact the Community provided by our Community Welfare Worker via Otway Health The monthly Men’s lunch has Welfare Worker. Home visits are reception and no referrals are recently expanded to include also available as the large Otway necessary. an outing once a month and Health coverage area stretches has become a Planned Activity There has been an interesting from Forrest and Beech Forest Group specifically for older men trend in the number of hours in the North and between Wye who may feel a little isolated and clients that we see on behalf River and Lavers Hill in the south and enjoy the company of other of Centrelink. We have seen a covering many farms and beach men. The Apollo Bay Hotel has marked decrease in attendance town residences. continued to provide a suitable at the Centrelink agency. This can Practical support is given with venue for the monthly lunch. be attributed to several reasons. issues relating to completion of The men’s program provides a As clients move up in age group, Centrelink forms, emergency useful mechanism to monitor and Centrelink offers them 3 monthly relief, assisting with utility bills, promote aspects of men’s health reporting, instead of fortnightly housing, isolation, problem & wellbeing. The Community reporting, resulting in less visits solving or providing a listening Welfare Worker supports the Sea per person. The increase in phone ear (debriefing), mediation, or Mist aged community residential reporting and internet access support during crisis. Referrals units with quarterly community for clients now means they have are also made to relevant meetings being held in the no reason to come in and see services in Colac and Geelong. community room at Sea Mist us either. There continues to be Villas and provides advocacy to clients which we would never The provision of advocacy the residents in the Low & high advise to not use our Centrelink means speaking on behalf of the care residential facilities. A closer Agency as they require fairly high community member to ensure partnership with Lions Village amounts of assistance. their best interests are met. has recently commenced with the Counselling addresses a wide provision of housing support by range of general issues such the Community Welfare Worker as, parenting, drug and alcohol to younger residents who are addiction, grief & loss, stress, accommodated at Lions Village. anger and violence, gambling,

marrar woorn Neighbourhood House

Marrar Woorn continues to Achievements at Marrar Woorn: • Bus loads of trips to the embrace the community and Victoria Market for days of • Partnered with Apollo Bay its events at every turn. Every shopping and eating Community Choir to host the afternoon the sound of footsteps, Vocal Nosh • Women’s retreat weekend back packs and spoons making milo can be heard as the school • NAIDOC week morning tea students make their way for a celebrations have cemented stopover at Marrar Woorn. themselves as an annual event at Marrar Woorn Neighbourhood House

Otway Health & Community Services report of operations 2010 - 2011 Community Services Report 29

lavers hill Neighbourhood House

The Lavers Hill Steering • Developing a partnership with space the LH&DCH can access for Committee has become a the school for program and future programs. We hope to plan formidable partner in the success activities in the future programs utilising the facilities of the Lavers Hill NHH program. at the school for the community • Hosted the International Together with Otway Health, two during the day (subject to school Women’s Day attended by Coordinators have been recruited timetable), evenings, weekends over 60 women from across and there have been a number of and during school holidays. The the region. activities started. school space offered for our • Ran the first computer course programs: Home Economics, There was a fabulous response program for the community Main and Lower Gym, Computer from the community to help kick and helping it progress from Room, Heated Pool (membership start the strategic planning for a beginners course to a required), Art Room, Woodwork the house and we now have a intermediate course Room, the oval and playground. direction and focus. • Partnership with the Laver’s Achievements of the Lavers Hill Hill K-12 College. NHH: A recent agreement has been • Recruitment of a NHH established between the Laver’s Coordinator Hill College and the Laver’s Hill & • Developing an annual District Community House. This strategic plan document outlines the school

The Laver’s Hill International Women’s Day event held at the Laver’s Hill Hall in March, 2011 was a huge success thanks to members of the Community, the Co-ordinator (Tania Morse), the volunteers, the Advisory Committee, local businesses, the Laver’s Hill K-12 College and Otway Health & Community Services. The event received $1000 funding from UNIFEM (United Nations Development Fund for Women) to assist with the running of the event. The intention of the event was to recognise, acknowledge and pay tribute to the many women who have been vital to the community as volunteers over and above their daily roles and to pay tribute to the Pioneering women who have established strength and endurance that has enabled following generations to benefit. This was a free event providing, supper, entertainment, shuttle buses from outlying areas plus a showcase of the works from the many talented local women. Ninety women between the ages of 12 to 85 attended this event. Four school bus drivers, plus the driver of the Otway Health Community Bus, donated their time and vehicle collecting the women on route from Apollo Bay to Princetown and inland Beech Forest, Gellibrand and Colac to the Laver’s Hill Hall with a return trip at the end of the evening. The Community feedback after the event was fantastic

Forrest Neighbourhood House

The Forrest & District together to share, enjoy and school on joint projects. Thanks Neighbourhood House program connect. 2011 saw the completion to community support special continues to thrive with new of our Disability Action Plan events throughout the year also activities and events taking place and an increase of people of helped raise funds for tsunami over the past year. The popular all abilities attending activities and flood victims. It is a tribute community lunch caters for up in a growing relationship with to our volunteers, their hard to 20 people weekly and is a Karingal. The House continues work and enthusiasm that the wonderful example of volunteers, to work closely with other program continues to grow. community and services coming community groups and the 30 Clinical Services Report

The philosophy of Otway Health maintain or improve health to • Acute Care is to keep people healthy and enable our clients to remain • Urgent Care well supported in their home independent. When care is no • Respite Care environment. longer possible or appropriate • Nurse Clinic in the home, Clinical Care can • Short Stay Unit This is achieved by close offer a range of services to meet • Residential Aged Care partnerships with the community individual needs: services team who work to

Presentations / Bed Days 3000 2500 2000 1500 1000 2008/2009 500 2009/2010 0 2010/2011 ECU Acute Needle Exchange Radiology Admissions Nurse Clinic Nurse Presentations

ACUTE CARE

Clients presenting with severe, This unit is attended by approved used, they are a valuable part of short term conditions that Visiting Medical Officers. our service and essential to the require hospitalisation can be care we are able to provide to our We may receive a request to admitted to our Acute Care Unit. community. transfer a patient from another Four beds are available for hospital to continue care. This is There were 76 admissions acute care admissions by especially true for our Home Care resulting in 370 bed days for the credentialed medical officers. Recipients whom have received financial year. This is an increase Such admissions are typically for medical treatment at Geelong from 66 admissions and 243 bed the treatment of infections, pain Hospital and are in recovery days for the 2009-2010 year. management and restorative stage, yet are not assessed as care. These four rooms can be being able to go home. used flexibly also for respite and Whilst our figures reflect that palliative care. these rooms are not extensively

Otway Health & Community Services report of operations 2010 - 2011 Clinical Services Report 31

URGENT CARE

The urgent care unit contains two triaged by registered nurses who local people and 492 were beds for urgent presentations liaise with on call medical staff visitors. The number of overall 24 hours a day. The Department for assessment, stabilisation and presentations is slightly down on of Health encourages the use transfer if necessary. last financial year’s figures of 1118, of the name Urgent Care to possibly due to the Great Ocean Of the 953 presentations to describe the service provided, as Road closure for two weeks urgent care in 2010-2011, 92 accident and emergency units over the summer period from were transferred to a larger are staffed by salaried medical landslides resulting in downturn hospital for treatment and 35 officers at all times. Members of tourism. were admitted for care at Otway of the community presenting to Health. 461 presentations were Urgent Care at Otway Health are

RESIDENTIAL AGED CARE

Sometimes, for a number of passed away, leaving you lonely Residential Aged Care can ensure reasons, older people are no or unable to manage on your that you have all the care and longer able to live at home. own, or your family or carer may support you need, in a welcoming For instance, you may be frail be unable to cope. Whatever and friendly environment. or ill, your partner may have the reason, if this time comes,

Otway Health has 13 flexible follows the general pattern in on staff. The flow on effect of low level beds and 8 flexible aged care, of residents being people being cared for longer in high level beds. Approximately admitted later and consequently their own homes also includes 52% of a possible 21 full bed for shorter periods of time. As people in the community being occupancy have been discharged the most intense times of activity cared for at end of life in a this financial year. Despite this, for staff are at admission and palliative care or acute care bed, an occupancy rate of greater when resident’s conditions have rather than an aged care one. than 85% has been maintained. deteriorated, this emerging trend This shows that Otway Health increases workload and stress

Respite

Respite care is available for those requiring care who choose to remain in the community. Respite bed days have increased by in 2010 – 2011 by 13% from 2009-2010, to a total of 275.

NURSE CLINIC

Nurse clinic is a service offered antibiotic therapy. Numbers are medical officers were available to the community in conjunction down this year to 129 from the for treatment and may also be with Apollo Bay General Practice. previous year’s figure of 202. influenced by road closure and Patients primarily attend for This statistic may reflect the an increased number of acute treatment of wounds and additional percentage of time two admissions. 32 Clinical Services Report

NEEDLE EXCHANGE

This program is offered in an 2009-2010 of 1093 to 1870 in attempt to reduce infection rates 2010-2011. 95% of our clients in the community. Statistics are using the service are return down on the 2008-2009 financial clients with only 5% ‘New Clients’ year of 2460 but up on that of or visitors utilising the service.

FOOD SERVICES

Over the past twelve months Staff Meetings, and the monthly our wonderful volunteers for the food services department Board meeting. their great support over the past has been preparing, serving and twelve months. Approximately 60 family meals delivering over 2500 meals per to new parents in the area have Menus are constantly being month. These meals range from been delivered. developed to provide variety and breakfast, lunch and dinner for also nutritional appropriateness. the residents, morning teas for Food services averages 420 residents and staff. delivered meals per month via Meals on Wheels, and is growing. Meals are prepared for Child Care, Otway Health would like to thank Planned Activities Group (PAGs),

MEDICATION MANAGEMENT

Medications errors have reduced by 56% in 2010 -2011 in comparison to 2009-2010 across a range of issues. Reasons for this include changes to processes for medical staff ordering medication doses and the reduction of poly pharmacy across aged care services. A Medication Advisory Committee has been established, this group will be a driver of further improvements in care delivery in this area. It is also significant to note that medication errors in 2009-2010 had reduced by 30% from that of 2008-2009, demonstrating the results of continuous improvement activities. We are extremely proud of this achievement for our clinical staff, and shows that the changes that we have implemented are improving the quality of service that we offer.

Otway Health & Community Services report of operations 2010 - 2011 Corporate Services Report 33

RECORDS

During the year Records’ destruction and disposed training in these new standards staff continued their studies of accordingly. The task of and will be taking steps and in Certificate III in Business identification, destruction and identifying methods to ensure (Medical Administration) with notification of healthcare records compliance. half the modules required now in the compactus is ongoing and The engagement of a Health successfully completed. The will be a continual practice. Information Manager on a knowledge gained from this In the coming year Records’ contracted basis has been course to date has been a useful staff will strive to complete their extremely beneficial to Otway resource for Records’ staff and scheduled training with a view for Health. She has not only ensured has been applied in day to day completion in late 2012. optimum funding for all episodes duties. of inpatient care but has provided The Public Records Office of In addition to the 300 healthcare valuable training across the Victoria (PROV) has implemented records that were destroyed last service and assistance with new record standards relating to year a further 200 healthcare quality and audit practices. storage. Records’ staff attended records were identified for

FINANCE

The Finance team has once again purchase of Power Budget (an The first audit undertaken was successfully closed the books additional reporting tool) we are for Payroll and Human Resource for the 2010/2011 financial year. now able to produce user friendly Administration and the second for Oracle, the accounting software reports and budgets for the Procurement. Both audits were package introduced in 2010 by Management Team. very favourable for Otway Health the State Government, is still with minimum recommendations Two internal audits have been challenging however, with the for improvement. conducted during the past year.

QUALITY MANAGEMENT

August 2011 marks the end of Otway Health has chosen place and working well together. an accreditation cycle for Otway QICSA (Quality Improvement These systems are analysed Health and following a review, & Community Services and reviewed for effectiveness, a new cycle will commence. Accreditation) to be their accuracy and relevance at review ‘Accreditation’ relates to being accreditation provider and time and the feedback from the accredited against a set of in return Otway Health has review formulates the Quality standards. Otway Health, like agreed to strive to meet the QIC Work Plan. The Quality Work Plan many other organisations, needs Standards. The QIC Standards becomes a working document to an accreditation certificate in require us to demonstrate that guide the quality improvement order to prove that standards Otway Health has a quality process for the next three years, have been met, and in order for system. ‘Quality System’ is the in addition to the various quality consumers of our services to term used to describe the overall initiatives that staff, management be confident that Otway Health framework and the various and our volunteers implement can meet their expectations. An elements and processes involved as they develop. Otway Health accreditation certificate also has in quality improvement. welcomes QICSA’s feedback and a direct impact on the funding looks to the next accreditation To achieve accreditation a for our services and the ability to cycle to further improve our core number of systems need to be in offer a diverse range of services. functions and processes. 34 Corporate Services Report

INFORMATION AND COMMUNICATION TECHNOLOGY (ICT)

OHCS is a member of the SWARH 2010 - 2011 saw the following Workstations (South West Alliance of Rural projects implemented at Otway • Transfer of Otway Health Health) alliance and this year Health ICT support to a centralised saw the transfer of internal ICT SWARH model • Implementation of the support to the centralised SWARH • Migration of all Otway SWARH Help Desk to enable model. Local ICT resource John Health email accounts to the users to log ICT faults and McBride remains geographically Microsoft Exchange platform, track progress of remediation based at OHCS but now also has enhancing remote access • Lavers Hill Neighbourhood SWARH wide responsibilities to emails and sharing of House : Implementation of and OHCS now have access calendars and public folders. a Next G connection to the to over 60 SWARH ICT staff. • Migration of local SWARH SWARH network and a new SWARH are committed to working Riskman (incident and risk multifunction Kyocera Laser closely with OHCS to ensure management software) to the Printer for faxing, copying, that our ICT infrastructure and new Victorian Health Incident printing and scanning. support is of the highest quality. Management System • Lease renewal: replaced 6 Dell Laptops and 2 Dell

HUMAN RESOURCES

Otway Health complies with Equal Employment Opportunity requirements where both staff and those applying for positions with the Service are treated according to their ability and merit. In 2010/2011, 33 people joined our team and 29 left us. The Performance Review process has been completed and the Training Requirements for staff for Professional Development have been put together for monitoring. We have begun the implementation of Electronic Human Resources files since the beginning of the year, we successfully sponsored a number seven days per week and have couldn’t find a system that would of Clinical Care Staff which has employed three casual staff integrate with our other systems bolstered the ranks and helped members to help the program run and therefore implemented our fill gaps in rosters. We have every day to keep our residents own. We undertook an Internal employed Zhezi Zhang (Silas) active in body and mind. (China), Lyndsey Petherick (UK), Audit as part of our Audit Process Advertising is ongoing in Rita Abraham (India via Ireland) and the initial report from the recruitment for the casual nurse and Maria Martinez (Philippines) Auditor was very favourable for bank. Home Carers and Personal this new system. With the success of our ‘Count Care Attendants are skills sharing As we endeavour to recruit Us In’ program for our residents, across both areas to help fill from various sources (especially we have received further funding shortages that arise. Clinical Staff), we have to allow this program to run

Otway Health & Community Services report of operations 2010 - 2011 Corporate Services Report 35

Maintenance

The Maintenance Team maintains safely in their homes for as long • Relocation of reception area the buildings, grounds, equipment as possible before considering to increase security for staff and ancillary sites of Otway residential care options. A total and the children in Child Care Health. of 61 jobs were completed for our • Installation of new aerials community members to make The Home and Community Care to make the service digitally their homes safer in the past Coordinator, Community Nurse ready year. and Occupational Therapist can • Stage 3 of introduction of the also submit requests for work to Our Maintenance Team have been swipe door entries to secure be completed in clients’ homes, instrumental in assisting with:- rooms and access within the for instance installing grab • Redesigning of gardens to facility rails, eliminating trip hazards, make them dementia friendly maintaining smoke alarms etc. • Licensing of 3rd room in Child (ongoing) This work enables clients to stay Care 36 Corporate Services Report

PR & FUNDRAISING

During 2010/2011, The Public • We always have had to be of Care Report by direct mail Relations and Fundraising Officer creative in the way that we to all residents . has concentrated on raising let our consumers know • Apply for Postage Paid with public awareness of programs on what is happening due to the Australia Post to encourage offer throughout Otway Health isolation of the communities return of surveys and improving communication that we service. We have with our community worked towards achieving • Monitor brochures, posters, booklets, and other print/ Achievements for 2010/2011: this by advertising weekly in the news letters that come media formats to ensure • The Bronze Award was out of Apollo Bay, as well that we are compliant with received for the 2009/2010 as with the Forrest Primary recommendations from our Report of Operations which School, and the Lavers Cultural Diversity Committee, was delivered $2000 under Hill P-12. We also created a our complaints procedure budget. Facebook Group with events and other organisational • The Public Relations Officer to utilise social media requirements [PRO] was directly involved in • Registered on Volunteering • Create an email list for direct successful grant applications portals and ensuring our mail outs to community of $92,000 . Total successful details are correct and on as members and groups with grant applications was many websites as possible over 200 email addresses $131,555 • Research towards updating • Successfully approaching • Introduction of new feedback our existing website so that businesses for donations for procedure utilising the it is more user friendly and our activities programs Riskman Software that comes up higher in search centralises the feedback , and engine optimisation the PRO, under guidance of CEO, is able to monitor and • Going to community group ensure timely response and meetings, and to our outcomes. It also enables Neighbourhood Houses in OHCS to convert feedback to Forrest and Lavers Hill to Quality Activities and to track publicise Otway Health outcomes. as the local health care provider, and answering • Introduction of thank you queries cards, sent out to all those who provide feedback to • Learning what Otway Health Otway Health offers, and developing ways to reach our target audience • Corporate re-branding has begun across stationary, • Implemented new ways of publications and will be distributing Annual Report implemented on new website and sending out the Quality

Otway Health & Community Services report of operations 2010 - 2011 Corporate Services Report 37

Document Control

The Protocol Management and procedures to make them more In 2011-2012 we will be starting to Production Tool (PROMPT) is streamlined and easier for staff move our Central Records from continually being updated with to comprehend and follow. paper based files to electronic new features. With over 30 other files with a central listing thereby Within our internal filing system health organisations using this working towards achieving our we have made some minor software it is a great tool to goal of becoming a paper free changes, with the folder views help with the implementation organisation. being minimised to make it easier of new policies and procedures. for staff to find what they are Within the past year, we have looking for. combined many similar policies &

Donations List

Although Otway Health receives Other donations have been Lucy Smailes and Shane Collie funding from both state and received from : Paul and Judi Robson federal government, it is the Cole Family Jack and Shirley Crane income received from donations Deb Muhovis Sally, Hayley, Blake and Hayden that are especially appreciated. Stephen Hart Patterson Not all of our donations are of Jo Leorke Estelle Irving the monetary kind either. In Bell Charitable Fund Helen Irving November last year, Second Apollo Bay Bowls Club Ladies Jenny Mannion and Colin Sails Opportunity Shop made a McDonald Many thanks to all of Otway donation of $170,000 to OHCS. Neil Mannion Health’s donors.

OCCUPATIONAL HEALTH & SAFETY

Occupational Health and Safety The achievements of the OH&S • OH&S policies and procedures of staff is a high priority at Otway Committee this year have have been reviewed Health. included: • A station wagon has been The OH&S Committee meets • Expanding the membership to purchased to enable safe regularly and is composed include staff representatives transport of staff and clients of Health and Safety from three additional with frames Representatives elected from designated work groups; Riskman is an electronic database each of designated work groups Home and Community Care, that allows staff to utilise a across the organisation as Food Services and Child Care central point to report incident, required by the Occupational Service. hazards, risks and community Health and Safety (OH&S) • Review and redesign of the feedback. Inherent in this Act 2004. The OH&S staff quarterly Housekeeping system is the need to investigate representatives and managers Inspections incidents and implement controls work together to maintain a designed to prevent similar rigorous process that identifies • Introduction of Annual Site incidents from recurring. All hazards and is able to respond Inspections using the QICSA incidents are reported to the quickly to address these. Audit Tool Board and monitored by the Staff representatives are elected • The use of RiskmanQ to OH&S committee for staff for a maximum of three years and record quality improvements incidents. These are followed are consulted about any changes that arise from and address up to ensure all are addressed to the workplace that may affect from safety issues for staff. promptly. employees. 38 Corporate Services Report

Complaints Reports Application and Australian/New Zealand Operation of the FOI Act Risk Management In 2010/2011 there were no Standard complaints against Otway Health The Freedom of Information to the Office of the Health Act 1982 provides the right I, Linda West certify that Otway Services Commissioner. to obtain information held by Health has Risk Management Otway Health. Requests under processes in place consistent the Act are made in writing to with the Australian/New Zealand Consultancies over and the Principle Officer who is the Risk Management Standard under $100,000 Manager Corporate Services. The and an internal control system In 2010/2011 there were no Manager Corporate Services is is in place that enables the consultancies in excess of also the Authorised Officer. Five executive to understand, manage $100,000. There have been (5) requests have been processed and satisfactorily control risk 3 consultancies for less than under the Act during 2010/2011, exposures. The Audit Committee $100,000 totalling $66,345 five (5) granted in full. verifies this assurance and that the risk profile of Otway Health has been critically reviewed Building Act 1993 Financial Management within the last 12 months. Compliance Framework In accordance with Good Building Principles and Practices’ Agencies Otway Health maintained a 100% are required to regularly carry compliance against all Standing out assessments and reports Directions of the Financial Management Compliance on the condition of built assets. Linda West Framework during 2010/2011. Otway Health has complied with Chief Executive Officer all government requirements to / Accountable Officer ensure that all built assets are maintained and protected.

Environmental Performance Summary

Otway Health is working to these options to other small • Service activities are reduce the Services impact on rural health services. monitored and data collected the environment in many ways: via a range of software • Otway Health utilises modern applications and the Otway • A water tank has been technology as much as Heath website is utilised for installed to collect and store possible by using video and recruitment of new staff. water for the garden and to phone conferencing to reduce use in emergencies if the travel time for staff and • It is Otway Heath policy to mains water fails. by providing video training recycle paper and plastics, through the Aged Care use small cars to reduce fuel • Plans are being developed to Channel to provide consistent consumption, and promote explore the use of alternative and accessible opportunities sustainability. sources of energy such as for skill development for staff. solar, heat pumps and wind • The Neighbourhood house power to eventually create • The Board members utilise is working with Houses a self sufficient facility that their secure internet site to in neighbouring Shires to also puts energy back into access meeting documents become a ‘Eco Living Centre’ the grid. Alternative power and hold paperless meetings for daily operations. options are not only a cost each month. All board saving mechanism but they committees now operate use solar or wind power, in this way, as do internal models environmental meetings throughout the responsibility and organisation. demonstrates the benefits of

Otway Health & Community Services report of operations 2010 - 2011 Corporate Services Report 39

National Competition Policy

During 2010/2011 Otway Health complied to the degree applicable contracted. These contracts has called for tenders for the with National Competition have continued in the 2010/2011 Precinct Development and Policy including the Competitive financial year. Design Project and the 2011-2016 Neutrality Policy Victoria and strategic plan, and complied subsequent reforms. Payroll, to the degree application New accountancy, and cleaning Asset Maintenance Schedule and services have been externally

Victorian Industry Participation Policy

In accordance with the Victorian Participation Policy (VIPP). Industry Participation Policy Act During 2010/2011 there have been 2003, Otway Health is required no tenders let or completed with to report on the implementation a value greater than $1 million. of the Victorian Industry

Prudential Compliance

Some Aged Care Residents have Prudential Compliance return. paid either an entry contribution Otway Health was found to or an accommodation bond when be fully compliant and held they commenced residency at an average of $192,000 in Otway Health. As such Otway combined entry contributions and Health has an obligation to accommodation bonds during complete an audited Annual 2010/2011.

Summary And Application of Whistleblowers Act

The Whistleblower Procedure without the fear of reprisal. ensures transparency and Throughout the year no accountability and provides an disclosures have been made environment that guarantees under the Act. disclosures can be made safely 40

75 McLachlan Street, PO Box 84, Apollo Bay VIC 3233 Ph: (03) 5237 8500 Fax: (03) 5237 6172 Email: [email protected] www.otwayhealth.com.au Otway Health & Community Services report of operations 2010 - 2011