Nursing home residents given sedatives but 'woken as early as 6am the next morning' - HIQA
INSPECTORS who made an unannounced visit to a private nursing home found four residents were up and dressed as early as 6.05am in the morning before day staff arrived.
Some of the residents who were giving sleeping pills were woken early in the Waterford Nursing Home in Ballinakill Downs, Dunmore Rd in Waterford.
“Cleaning staff were observed by inspectors at 6.30am to be washing and polishing the floors with a machine, " the report from the Health Information and Quality Authority (Hiqa) revealed.
“ At that time of the morning this machine could be heard throughout the ground floor. Inspectors also saw evidence of the communication carers books. These books were used by healthcare assistants to record on a daily basis which residents were washed and dressed by night staff.”
Inspectors also found that one resident had received two different types of psychotropic medication the previous night. Inspectors saw that this resident was washed, dressed and sitting in the dayroom at 6:10am.
“ Inspectors noted that a medication administration record indicated that a resident received a dose that was 50pc higher than the dose clearly prescribed on the medication prescription sheet”
They were not assured in the November inspection that nursing staff were administering medications from the prescription records. This error would not have occurred if nursing staff had administered medication from the prescription which clearly indicated that the medication dose had been altered.
They also noted a incident of alleged abuse of a resident was recorded on August 29 ,2015.” Inspectors saw evidence that the incident had been verbally reported by staff to the assistant director of nursing on the morning after the incident.
“ In addition, staff had provided written statements when requested by the assistant director of nursing.
“However, the Authority had only received a notification from the person in charge on 30 October 2015. Outcome 11: Health and Social Care Needs The person in charge outlined to inspectors that he had been made aware of a complaint regarding an allegation of poor wound care regarding a resident. Inspectors reviewed care plans and turning charts for a resident with pressure sores. Inspectors also spoke to staff regarding this allegation of neglect. Based on this initial review of care inspectors were not satisfied that wound care management was in accordance with evidence based practice.”
The nursing home was given an action plan by inspectors to address the issues.
A separate inspection of the HSE- Dungarvan Hospital found that despite it just being 6.30pm on a sunny Friday evening the majority of residents were in bed with blinds closed.The home was understaffed and just one nurse and one care staff were on duty from 8am onwards.