Aged Care Quality and Safety Commission
All documents, including emails, relating to the Inquest Findings of Deputy State Coroner Kereru regarding the death of Mrs D'Angelo, including any consideration, development, or response to the…
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All documents, including emails, relating to the Inquest Findings of Deputy State Coroner Kereru regarding the death of Mrs D'Angelo, including any consideration, development, or response to the recommendations arising from those findings
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This FOI release from the Aged Care Quality and Safety Commission comprises email correspondence, from April to August 2026, concerning the South Australian Coroner's inquest findings into the death of an aged care resident, Mrs D'Angelo. The emails, largely between the Chief Clinical Advisor, the Operational Policy team, the Coronial team and the Deputy Commissioner, consider the Coroner's recommendations on dehydration in older people. Topics include Recommendation 4 (possible changes to the Aged Care Quality Standards, Actions 5.5.5 and 6.2.1), Recommendations 5 and 6 (amending the "Preventing Urinary Tract Infections-Recognise Dehydration" poster and providing educational resources), and a draft clinical alert, "Dehydration June 2026". Attached draft guidance on preventing and responding to dehydration is included. Names and contact details of staff are redacted under s 47F (personal privacy). No quantified incident data or enforcement action against the named provider appears in the excerpt. The excerpt does not show whether s 47C (deliberative process) exemptions were applied to the policy advice.
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