Wednesday 20 June 2018

HIQA reports 'major non-compliance' at two centres for disabled

Hiqa director of regulation Mary Dunnion
Hiqa director of regulation Mary Dunnion

Sam Griffin

HIQA has found “major non-compliance” in a raft of areas assessed at two separate centres providing services for adults and children with severe disabilities in Co Kilkenny.

Both centres are located on the St Patrick’s campus and operated by St Patrick’s Centre (Kilkenny) Ltd.

Earlier this year one of the five centres at the campus was de-registered following a district court application by Hiqa. The health standards watchdog sought the de-registering of the home, called Our Lady’s unit, following an inspection where assessors found it was unfit for purpose, and had no automatic fire detection system or alarms in operation among other failings.

The latest inspections, the reports of which have been published by Hiqa this morning, show serious shortcoming in care provided in both centres.

The adult St Michael’s centre was inspected in May this year where there were 21 residents and four vacancies.

Hiqa found 11 areas of major non-compliance and four areas of moderate compliance following the inspection, including not having appropriate staffing levels, and a failure to ensure there was an effective fire safety management plan in place.

The premises were also found to be “unclean and poorly maintained with cobwebs visible in many areas, flooring in disrepair throughout and wardrobes requiring replacement”, the inspectors reported.

“An immediate action plan was given to the provider following the inspection to address this issue,” the report states.

The provider was given two days to submit a response to address the non-compliances identified in the action plans. However the action plan responses were not received from the provider within the designated timeframe as stipulated by the Authority.

The report also says there were “significant deficits in quality of care provided to residents” and the level of multidisciplinary supports provided to residents was insufficient.

The second centre inspected on provides fulltime residential care for up to 10 children between the ages of 5 and 18 years with a severe/profound intellectual disability or autism.

It also provided respite care to up to four children between the ages of 5 and 18 years with moderate to profound intellectual disabilities.

Inspectors found here was a “significant number of areas where improvements were required” including children's rights and complaints, emergency admissions and contracts, personal planning and transitions.

They also reported concerns over the state of the premises, risk management and fire safety, healthcare and medication management, governance and management, and resources and staffing.

In the case of fire safety concerns, the inspectors found the recommendations of a fire consultant which were made in 2014 had not been implemented.

The centre responded to Hiqa in relation to both reports and has committed to implementing the required changes to ensure the centres comply with Hiqa standards.

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