Inadequate video surveillance, weaknesses in infection control and understaffing have been raised as concerns in a number of disability center inspection reports.
Inspectors from the Health Information and Quality Authority (Hiqa) found non-compliance with regulations and standards at 15 out of 33 centers.
A high level of non-compliance was identified at a center operated by Resilience Healthcare Limited. Improvements were needed in fire safety measures, premises and staff training.
Non-compliance was identified at two centers operated by Stewarts Care Limited. Improvements were needed in these two centers in behavior plans, staffing, training, complaint management and infection control arrangements for residents.
At a center run by Trinity Support and Care Services Limited, staff arrangements did not ensure consistent care for residents. In addition, improvements were needed in assisting residents to access educational or employment opportunities, and the provider needed to improve how restrictive practices were managed at the center.
Inadequate staffing arrangements have been identified in centers run by four different providers: The Cheshire Foundation in Ireland, Rehab Group, Nua Healthcare Services Limited and St Catherine’s Association CLG.
A failure to follow infection control precautions has been identified at a center operated by St Hilda’s Services.
The use of restrictions and video surveillance impacted the rights and living conditions of residents at a center operated by St Michael’s House.
At one center operated by St. Joseph’s Foundation, the lack of a responsible person undermined the center’s management and administration.
Two centers operated by Saint John of God Community Services CLG needed repairs and maintenance to ensure accessibility for residents.
During the 33 inspections, Hiqa inspectors found a generally good level of compliance with regulations and standards at 18 centers operated by a range of providers including; Muiríosa Foundation, Nua Healthcare Services Limited, Offaly Center for Independent Living CLG, Peamount Healthcare, Praxis Care, Redwood Extended Care Facility Unlimited Company, Saint John of God Community Services CLG, St Joseph’s Foundation, St Michael’s House, St Paul’s Child and Family Care Center Designated Activity Company, Stepping Stones Residential Care Limited, Three Steps Limited, The Cheshire Foundation in Ireland and Western Care Association.
Examples of good practice were found in Laois at a center run by the Muiríosa Foundation. Residents talked about their personal goals and how they hope to achieve them in the coming months. One resident proudly displayed the inspectors’ medals he had won by participating in the Special Olympics, while another resident demonstrated his jewelry collection and how it was kept safe.
At a center in Offaly run by the Offaly Center for Independent Living CLG, residents were involved in the day-to-day operations of the center and had chosen names for each of the bedrooms, which were placed on plaques outside the rooms. Residents led active lives and were involved in a range of activities. They spoke of the center as their “home away from home”.
Inspectors who visited a center run by St Michael’s House in Dublin found that residents were being supported to develop skills for independent living, such as B. preparing simple meals. They were also supported to get actively involved in their local communities. Residents shared their goals with the inspector and commented positively on the support provided by staff. They also talked about their plans for the next few months, such as going to concerts and going on vacation.
https://www.independent.ie/irish-news/hiqa-inspectors-find-weaknesses-in-infection-control-and-inappropriate-video-monitoring-at-disability-centres-41918613.html Hiqa inspectors find weaknesses in infection control and inadequate video surveillance in disability centers