The report of IGAS and IGF details the difficulties in controlling the Group’s EHPAD, which has set up protocols to embed the situation of its institutions with the authorities. It also emphasizes the lack of enthusiasm of regional health agencies to pronounce real sanctions.
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How do the serious malfunctions in the ORPEA dependent elderly (EHPAD) accommodation institutions have been able to escape the vigilance of the French health authorities for years? The report of the General Inspectorate of Social Affairs (IGAS) and the General Inspectorate of Finance (IGF), made public Tuesday, April 5 by the Government, brings a series of answers to this question, which could be summed up in two points : a desire to conceal on the part of the group; but also a certain lack of zeal in the application of authorities’ recommendations.
For the purposes of the report, IGAS and IGF inspectors have peeled 42 previous reviews from previous controls in ORPEA facilities. These are few. Regional Health Agencies (ARS) carried out 64 inspection missions in institutions in the group between 2018 and 2021, or 2.3% of the total controls led by the ARS in EHPADs. One figure that corresponds little or prou on the part of the Orpea establishments in the landscape of the retirement homes, explains the report, which also ensures that the CVIV-19 crisis, lowered by half the inspections in 2020 and 2021. Of the 64 controls carried out within the ORPEA group, only 11% were conducted “unexpectedly”, therefore without warning the establishment in advance, a proportion deemed “too low” by the rapporteurs.
“Corrective actions”
The report also highlights the widespread deficiency of the controls by the departmental councils, yet the privileged interlocutors of the EHPAD, of which they finance part of the activity: “their means of control are, except exception, very limited and their investment in These often punctual, and nested in routine relations, the same agents sometimes practicing visits for verification and managing the general relations with the institutions. “The report is just as severe with the internal controls led by the group, Held insufficient, as is his “quality action plan”, an internal tool for theory to respond to shortcomings, but that is in practice little used.
When the external controls take place, they face a “lack of transparency” of the group, which has put in place a global strategy to answer them. It goes through “reflex cards” emitted by the seat, “indicating the actions to be carried out” in case of control, to “immediately mobilize the hierarchical chain” and “ensure its presence on the spot during the investigations”, but also, note the Report, to prohibit the dissemination of certain elements, such as the internal budget, at least the time to put in place “corrective actions” of “last minute” – as the coming of additional employees the time of the control – which allow ” Minimize the risk of negative observations “.
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