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16569

Question 16569 — elderly people

openFrance· National Assembly· FR

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26 March 2024

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26 March 2024

Summary

Mr. José Gonzalez draws the attention of the Minister of Labor, Health and Solidarity to the disparities in staffing rates in nursing homes. It is worth remembering the importance of the supervision rate as a control criterion, a low supervision rate very often resulting in a deterioration of working conditions for nursing home staff. In fact, this results in poor care of residents. However, and this is the problem, we see notable differences without any real correlation in the supervision rates. First of all, private nursing homes have lower staffing rates than public nursing homes. The supervision rate also decreases with the number of subcontracted activities since resorting to these automatically leads to declaring fewer personnel. Furthermore, nursing homes with a low number of places installed (less than 60) have an average higher supervision rate. Finally, the supervision rate of an Ehpad differs depending on the urban center in which it is located. Establishments in small and medium-sized urban centers have a lower supervision rate than those in a large urban center. On the other hand, structures located in an isolated municipality have higher supervision on average. These differences in the supervision rate are perplexing if we start from the premise that an elderly person has the same needs, whether in a private or public establishment, whatever their department or urban environment. In view of the various recent scandals of the Orpea and Korian companies, as well as the requests that the MP himself received, this ratio is too low. The lack of professionals leads to acts of negligence, even abuse, committed against residents. Consequently, he asks for details on the factors explaining the differences in nursing staff ratios between the different nursing homes in the territory. He also asks her what measures she plans to put in place to increase the supervision rate of nursing home residents in order to make dependency professions more attractive and to ensure a qualitative care offer for residents of nursing homes, and what about the controls that will apply in the event of failure to meet a possible minimum supervision rate.

Machine translation from French. The official text remains authoritative.

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