OZQ

Case [2020] NSWCATGD 40


NSW Civil and Administrative Tribunal


New South Wales

Medium Neutral Citation: OZQ [2020] NSWCATGD 40
Hearing dates: 11 December 2020
Date of orders: 11 December 2020
Decision date: 11 December 2020
Jurisdiction:Guardianship Division
Before: S G McCarthy, Senior Member (Legal)
Dr G Jamieson, Senior Member (Professional)
A D Wannan, General Member (Community)
Decision:

The application for guardianship is dismissed after hearing.

Catchwords:

GUARDIANSHIP – application for a guardianship order – whether a guardianship order should be made – subject person has dementia and cognitive deficits – subject person is immobile - use of bed rails in aged care – whether use of bed rails constitutes “physical restraint” – Pt 4A of the Quality of Care Principles 2014 (Cth) - bed rails used to prevent subject person from falling out of bed and suffering injury – subject person at higher risk of infection and delirium – use of bed rails does not restrict subject person’s movement as subject person is immobile – use of bed rails not a “restrictive practice” – no need for a guardianship order – application dismissed.

Legislation Cited:

Aged Care Act 1997 (Cth)

Guardianship Act 1987 (NSW), ss 3(1)-(2), 4, 14, 14(2)

Quality of Care Principles 2014 (Cth), Pt 4A, Sch 2, ss 4, 15F, 15G

Cases Cited:

IF v IG [2004] NSWADTAP 3

JFL [2020] NSWCATGD 32

SZH [2020] NSWCATGD 28

VZM [2020] NSWCATGD 25

Texts Cited:

Aged Care Quality and Safety Commission, Regulatory Bulletin, Regulation of Physical and Chemical Restraint, Issue No. 2019-8.1 (11 December 2019)

Category:Principal judgment
Parties:

001: Guardianship Application

OZQ (the person)
DAL (applicant, enduring guardian)
YBQ (enduring guardian, spouse)
Public Guardian
Representation: Nil
File Number(s): NCAT 2020/00306068
Publication restriction: Decisions of the Guardianship Division of the Civil and Administrative Tribunal have been anonymised to remove any information that may identify any person involved in the Tribunal’s proceedings: Civil and Administrative Tribunal Act 2013 (NSW), s 65.

REASONS FOR DECISION

GUARDIANSHIP APPLICATION

What the Tribunal decided

  1. The Tribunal dismissed the application for guardianship in relation to OZQ made by DAL.

Background

  1. OZQ is aged 94 years and is of Greek background. He resides at an aged care facility in Southwest Sydney. OZQ’s family includes his wife YBQ and DAL, daughter. DAL made an application for guardianship concerning OZQ regarding the use of bed rails for OZQ in the care facility.

  2. On 4 April 2011, OZQ made an enduring guardianship appointment appointing YBQ and DAL as his guardians, both jointly and severally.

The hearing

  1. At the end of these Reasons for Decision are lists of the parties to the application and the witnesses who attended the hearing. [Appendix removed for publication.]

Does DAL have standing to bring the application?

  1. A person has standing to bring an application if he or she is:

  1. the person who is the subject of the application;

  2. the Public Guardian; or

  3. any other person who, in the opinion of the Tribunal, has a genuine concern for the welfare of the person.

  1. The Tribunal found that DAL has…

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OZQ [2020] NSWCATGD 40
Case
[2020] NSWCATGD 40
Decision Date

CaseChat Overview and Summary

The case of OZQ involved an application for a guardianship order concerning an individual suffering from dementia and cognitive deficits, who was also immobile. The primary dispute centred on whether the use of bed rails in an aged care facility constituted a "physical restraint" under Part 4A of the Quality of Care Principles 2014 (Cth). The court had to determine whether such use warranted the imposition of a guardianship order.

The legal issues at hand required the court to interpret the principles and definitions set forth in the Quality of Care Principles 2014 (Cth). Specifically, the court needed to establish whether the bed rails, which were used to prevent the subject person from falling out of bed and potentially suffering injury, qualified as a "physical restraint." Given the subject person's immobility, the court also had to consider whether the use of bed rails restricted the subject person's movement and if it constituted a "restrictive practice." The court's analysis also took into account the higher risk of infection and delirium the subject person faced, which influenced the decision regarding the necessity of a guardianship order.

The court concluded that the bed rails did not restrict the subject person's movement since the person was already immobile. Therefore, the use of bed rails did not constitute a "physical restraint" or a "restrictive practice" as defined by the legislation. The court found no need for a guardianship order, leading to the dismissal of the application.

The final orders of the court were that the application for guardianship be dismissed after hearing.

Orders

Orders of the court

The application for guardianship is dismissed after hearing.

Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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