'Unclean' HSE-run home had no locks on toilets
A centre for people with intellectual disabilities had areas which were unclean with damaged paintwork and broken surfaces on equipment, a highly critical report revealed.
The inspection report into HSE-run Grove House in Cork city found residents were subjected to institutional practices such as having the milk poured into large pots for tea, before being served.
Fire exits remained locked and not all were accessible with the same key.
Some fire exits opened inwards which was not in compliance with best practices and not all staff had adequate knowledge of fire safety practices, said the report by the Health Information and Quality Authority (Hiqa).
Due to institutional practices, residents were not adequately supported to develop skills to enable them to live as independently as possible - and personal plans did not adequately identify how residents would be supported.
The report said that "on the days on the inspection there were 21 residents living in the centre, 10 male and 11 female, only one of whom routinely participated in activities external to the centre each day.
"The provision of care to residents with an intellectual disability in an institutional type setting such as this was not in compliance with evidence-based practice and did not support residents to make choices about how they lived.
"In addition to the institutional nature of the centre there were other issues that compromised the privacy and dignity of residents."
For example, the locking mechanism on the doors of bathrooms and toilets were broken and therefore none of the toilet doors could be locked to maintain privacy during personal hygiene.
The presentation of food at mealtimes did not support the dignity of residents through practices such as adding milk to tea when it was still in large pots prior to serving it to the residents.
Staff were seen to interact with residents and were aware of the communication needs of residents, however, they were not equipped to always meet those needs.
For example, the record of one resident who was non-verbal indicated that he used Lámh signing as a means of communication. However, none of the staff had training in Lámh.
Hiqa has provided an action plan to the centre to rectify the shortcomings.