This report aims to alert providers to key findings of a recent review, and highlights changes put in place to stop such an event happening again.
We advise providers to consider whether the changes made are relevant to their own systems.
This report is relevant to:
- infection prevention and control staff
- aged residential care facility clinical managers
- chief medical officers and directors of nursing.
Attachments
Published: 16 Nov 2021
Modified: 16 Nov 2021
