Monday 16 July 2018

Dublin nursing home had inadequate response to abuse allegations, report finds

The inspection also found inappropriate use of restraint of some residents (stock image)
The inspection also found inappropriate use of restraint of some residents (stock image)
Eilish O'Regan

Eilish O'Regan

A Dublin nursing home, linked to Beaumont Hospital, had inadequate safeguards in place to protect residents when there were allegations of abuse, an inspectors’ report has revealed.

The inspection of Raheny Community Nursing Unit in October also found inappropriate use of restraint of some residents.

Inspectors observed a number of residents being left to wait for up to thirty minutes on the corridor of the nurses’ station until staff were available to bring them to the sitting room, the report by the Health Information and Quality Authority (Hiqa) revealed.

The home which has 96 residents took too long to conduct a preliminary screening of complaints of abuse.

This should take three days but it was not completed for six weeks.

The inspectors said the use of physical restraint was not excessive but there were instances where residents freedom was limited through “physical holding” during personal care.

Inspectors were told this was used to manage responsive behaviours associated with personal care and had been discussed and agreed with a multi-disciplinary team and residents' family.

“However, evidence of the discussion and agreements were not available.”

Inspectors found the assistance provided to residents during breakfast was “particularly rushed.”

Staff said they were rushing to ensure everyone got breakfast while it was hot.

They were working with a lot of agency staff who did not know the residents well and this created more pressure on regular staff.

The report said there were negative impacts to this rushed care including where residents were assisted to “eat their breakfast, prior to their soiled incontinence wear being changed.”

The inspectors found an inadequate corporate governance to ensure the health, safety and protection of residents.

An action plan has been set out detailing the measures needed to meet compliance.

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