too much stuff€¦ · services •eastern health •outer east acas •salvocare...
TRANSCRIPT
Too Much Stuff
Kirsten JenkinsManager Health Local Laws and Emergency Management
HoardingQUICK STATS –Spotlight on MaroondahPersistent hoarding takes on average 100+ hours of council staff time per property
Most hoarding properties have a 5 year + history
At least 10 hoarding cases per year
$47,887 – average cost of a single hoarding case in Maroondah if enforcement action is needed (includes staff time
Maroondah Hoarding and Squalor Network⟩A forum for local agencies and community groups ⟩Share skills and knowledge ⟩Establish positive collaborative outcomes for our community⟩Underpinned by a ‘No Wrong Doors’ approach in order to assist each other and our community through such complex issues.
Who’s involved
Emergency Services
• Victoria Police• SES• CFA• Maroondah City Council ‐
Local LawsCommunity HealthAged and Disability Vulnerable Clients Coordinator
• Metropolitan Fire Brigade• Ambulance Victoria
Funded Agencies
• Department of Health & Human Services
• Eastern Health• Outer East ACAS• Salvocare• UnitingCare Harrison• Tenancy Plus• Outer East Primary Care Partnership
Chaired and supported by Maroondah City Council
Key Learnings
⟩Network needs to evolve naturally⟩Work needs to be shared, tendency to rely on Council officers⟩Cannot underestimate the benefits of relationships in addressing complex issues⟩Great advocacy tool⟩Willingness, long‐term process
Maroondah Internal Procedures⟩Internal Hoarding Working group
⟩Aged and Disability, Local Laws and Environmental Health
⟩Meet every two months⟩Maintain list of hoarding properties⟩Update on active properties⟩Consistent method of tracking hoarding complaints ⟩Risk Matrix for “compliance”⟩MFB hoarding notification process⟩Clean up – Person centred, templates, debriefing
Assessment Aged and Disability Building
Building Act 1993 and Building Interim Regulations 2017.
Health Environmental health officers, under the nuisance provisions of the Public Health and Wellbeing Act 2008 are bound by a
statutory duty of care. Failure to respond or address a problem once it is known can result in significant liability at law.
Local Laws Assessment of some external issues on the property under Local Law 11; Fire prevention, Condition of Land, Storage of Hazardous substances or vehicles/machinery and Animal housing.
LEVEL I Tidy well maintained living and external environment (level 1 image rating scale)
All buildings are in good structural order.
Working smoke alarms.
Safe, sanitary/clean; no odours, no evidence of rodents or insects.
No fire risk. No storage of items or materials not normally found in a yard.
LEVEL II
Low level clutter and or some neglect of cleaning (level 2 image rating scale). No barrier to services.
Some clutter observed on external structures.
Working smoke alarms.
Diminished appropriate sanitation odours from dirty dishes, food prep, laundry, toilets, mildew present.
Light evidence of common household pests/insects.
No nuisance to neighbouring properties.
Small amounts of flammable materials, chemicals or machinery. It is not the Fire danger period. Small volume of items/materials that may or may not be unsightly, stored in an safe manner. The land surrounding is fenced or gated.
LEVEL III
Moderate level of clutter, impacting on living environment, clear access points. Evidence of some neglect of cleaning, dirty dishes, clothes. (level 3 image rating scale). Consider if clutter related to poor organisation skills, functional limitations, or behaviours associated with collecting or difficulty discarding.
Medium amounts of clutter observed on external structures. Structures still appear to be in good structural condition. Smoke alarms not functional.
Limited evidence of maintaining sanitation; odours obvious and garbage cans not in use or overflowing.
Medium evidence of common household pests/insects. No nuisance to neighbouring properties.
Medium amounts of flammable materials, chemicals or machinery. It is not the Fire danger period. Medium volume of items/materials that may or may not be unsightly, stored in an safe manner. The land surrounding is fenced or gated.
LEVEL IV
Moderate to high level of clutter, impact on useability of environment, and presenting tripping and fire risk. (level 4-6 image rating scale). Environment presents barrier to providing services. Evidence of squalor eg storage of food, animal faeces, odour present.
Large amounts of clutter observed on external structure/s, these structures cannot be accessed by anyone underneath.
Medium amount of clutter observed on external structures which are observed to be rotting/damaged. Smoke alarms not functional or no smoke alarms.
Rotting food, organic contamination, and very little waste disposed of from property.
Excessive evidence of rodents in yard, ceiling or under house (audible and visible); medium insect infestation.
No nuisance to neighbouring properties.
Medium amounts of flammable materials, chemicals or machinery. It is the Fire danger period. Medium volume of items/materials that may or may not be unsightly, stored in an unsafe manner. The land surrounding is fenced or gated.
LEVEL V
High level of clutter impacting normal use of environment. Limited or no access to toilet and or bathroom and or kitchen. Limited or no utilities. (level 7-9 image rating scale). Environment presents barrier to providing services. Evidence of squalor eg storage of food, animal faeces, odour present.
External structures have excessive items on them, potential for them to collapse and injure someone.
No smoke alarms.
Infestation of vermin, using the rear yard as a toilet or rotting stored garbage, mould/mildew; moisture or standing water resulting in odours and health issues. Causing a nuisance to neighbouring properties. Causing health impacts/risk to the occupant/occupants.
Large amounts of extremely flammable materials and/or chemicals or large amounts of machinery. High fire risk posed in the Fire danger period. Extreme volume of items/materials that may or may not be unsightly stored in an unsafe manner. The land surrounding is unfenced or gated posing a risk to people passing the property.
Actions Aged and Disability Building Health Local Laws
LEVEL I
If a Customer Service request has been created ensure notes reflect the risk level and why no further action is to be taken.
If a Customer Service request has been created ensure notes reflect the risk level and why no further action is to be taken.
If a Customer Service request has been created ensure notes reflect the risk level and why no further action is to be taken.
If a Customer Service request has been created ensure notes reflect the risk level and why no further action is to be taken.
LEVEL II
If a Customer Service request has been created ensure notes reflect the risk level and why no further action is to be taken.
If a Customer Service request has been created ensure notes reflect the risk level and why no further action is to be taken.
If a Customer Service request has been created ensure notes reflect the risk level and why no further action is to be taken.
If a Customer Service request has been created ensure notes reflect the risk level and why no further action is to be taken.
LEVEL III
Willingness to engage with services, consider case management, additional smoke alarms, reablement program, socialisation, hoarding self-help and psychological therapy. Make MFB hoarding notification. Create Customer Request in Pathway. Refer the property to the Internal Hoarding group for future monitoring and assessment.
Create or update Customer Request in Pathway . Make MFB hoarding notification. Refer the property to the Internal Hoarding group for future monitoring and assessment.
Create or update Customer Request in Pathway. Make MFB hoarding notification. Refer the property to the Internal Hoarding group for future monitoring and assessment. Recommend baiting for rodent problem. Recommend rubbish removal to reduce odours.
Create or update Customer Request in Pathway. Make MFB hoarding notification. Refer the property to the Internal Hoarding group for future monitoring and assessment. Work with owner recommending clean up options.
LEVEL IV
Discuss with appropriate other council department either local laws or community health or building. Priority to eliminate squalor and risk. Establish trust relationship, consider capacity to make decisions and need for psychological therapy & mental health services. Offer additional smoke alarms, make MFB hoarding notification, attempt agreement to ensure clear access to property. Consider case management, , socialisation, hoarding self help, , rubbish removal services. Assess impact on others in household consider children’s welfare services, carer support. Create Customer Request in Pathway.
Create or update Customer Request in Pathway. Discuss with appropriate other council department either local laws or community health or Aged and Disability. Make MFB hoarding notification. Refer the property to the Internal Hoarding group for future monitoring and assessment.
Create or update Customer Request in Pathway. Discuss with appropriate other council department either local laws or Building or Aged and Disability. Make MFB hoarding notification. Refer the property to the Internal Hoarding group for future monitoring and assessment. Consider an improvement or prohibition notice.
Create or update Customer Request in Pathway. Discuss with appropriate other council department either Building or community health or Aged and Disability. Make MFB hoarding notification. Refer the property to the Internal Hoarding group for future monitoring and assessment. Consider NTC/enforcement and continue working with owner to clean up.
LEVEL V
Must involve appropriate other council department either local laws or community health or building. Priority to eliminate squalor and risk. Level of clutter and squalor most probably indicates incapacity to make appropriate decisions and need for psychiatric and neuropsychiatric assessment. Refer for assessment by mental health services. Offer additional smoke alarms, make MFB hoarding notification, attempt agreement to ensure clear access to property. Consider case management, , socialisation, hoarding self help, , rubbish removal services. Assess impact on others in household consider childrens welfare services, carer support. Create Customer Request in Pathway.
Create or update Customer Request in Pathway. Must involve appropriate other council department either local laws or community health or Aged and Disability. Make MFB hoarding notification. Refer the property to the Internal Hoarding group for future monitoring and assessment.
Create or update Customer Request in Pathway. Must involve appropriate other council department either local laws or Building or Aged and Disability. Make MFB hoarding notification. Refer the property to the Internal Hoarding group for future monitoring and assessment. Issue an improvement or prohibition notice. Consider a court order to gain entry to the property if a clean-up is required.
Create or update Customer Request in Pathway. Must involve appropriate other council department either Building or community health or Aged and Disability. Make MFB hoarding notification. Refer the property to the Internal Hoarding group for future monitoring and assessment. Issue NTC consider forced clean up.
Lessons Learned⟩Every person is different⟩Clean up – Person centred⟩Templates ⟩Debriefing – what worked well, what can we do better?⟩Occupational Health and Safety⟩Contractor Management⟩Staff support⟩Follow up and monitoring
Links
⟩Outer East Primary Care Partnership⟩https://www.youtube.com/watch?v=xgo2v3Arihk
⟩Network website ⟩http://www.hoardingsqualormaroondah.org.au/
