What many frail aged Australians can expect if they enter a nursing home - maggots, rotten food and a starvation diet

ABC News, 16 July 2019:

PHOTO: Pictures supplied to ABC investigations as part of a crowdsourcing project on food in aged care. (Supplied)

…..Cutting corners

Earlier, a roundtable of three chefs with almost 100 years of experience in a range of aged care services and kitchens between them suggested an answer to why food standards were so poor.

The commission heard the quality of aged care menus — described by one panellist as "the one thing [residents] get to look forward to" — came down to what the facility paid per resident.

For $16 a day, the residents of the unnamed facility Lindy Twyford manages were served salt-and-pepper squid, fillet mignon, and occasional portions of frozen but high-quality produce.

At the other end of the spectrum, a home spending $7 would rely on secondary cuts of meat and mass-ordered vegetables, some of which would be thrown out at the expense of serving sizes.

"You're having to cut corners, you're having to use frozen foods, you're having to use processed foods just to feed residents," chef Nicholas Hall said.

Mr Hall said food costs at some facilities he formerly worked at were inflated by an ordering system beyond supermarket prices, in one instance by as much as 100 per cent.

Chef Timothy Deverell raised concerns about the lack of training to create texture-modified foods, menus that had no input from residents until they complained, and food served on open-air trolleys that was often cold by the time it reached some residents.

Some homes would place food orders using a "restrictive" system in which a drop-down box offered just a handful of options, Mr Hall said.

Facilities would opt for finger food platters because they were "low-risk", cheap, and didn't require a chef.

Some meals would be repeated up to three or four times a week as providers made a bid to reduce costs.

"They're racing to the bottom to see who can feed for the lowest amount of cost," Mr Hall said

Maggots, rotten food

The commission was also told of one "upmarket residential aged care facility" which had a maggot-infested rubbish store between service trolleys and a nearby fridge containing enough rotten food to fill a trailer.

"[I've seen] reusing food that's already been out, served to residents and come back to the kitchen," Mr Deverell said.

"They use that for texture-modified diets."

Mr Hall said food safety audits were too infrequent and services were given advance notice, meaning extra cleaners could be hired to bring facilities up to scratch.

He said nutritionists failed to properly engage with residents and their needs…..