Rat-traps in dining room at centre for disabled people
The health standards watchdog has found "major non-compliance" in a range of areas at two separate centres providing services for adults and children with severe intellectual disabilities in Co Kilkenny.
Among a litany of concerns raised by the Health Information and Quality Authority (Hiqa) were two rat-traps found by inspectors in a dining room of one home and concerns about fire safety.
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 authority sought the de-registering of the home, called Our Lady's unit, following an inspection.
It found it was unfit for purpose and had no automatic fire detection system or alarms in operation, among other failings.
The latest inspection reports show serious shortcomings in care provided in both centres.
The adult centre, called St Michael's, was inspected in May this year when there were 21 residents there.
Hiqa found 11 areas of major non-compliance including not having appropriate staffing levels and a failure to ensure there was an effective fire safety management plan in place.
The premises was 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. However, the response was not received from the provider within the designated time frame as stipulated by the authority.
The report also said there were "significant deficits in quality of care provided to residents" while the level of multidisciplinary supports provided were also insufficient.
The report said family members of residents, contacted by inspectors, praised staff members for the care they provided, but said they were understaffed.
The second centre inspected provides full-time residential care for up to 10 children between the ages of 5 and 18, as well as some respite care.
Inspectors found there was a "significant number of areas where improvements were required" including healthcare, governance and management and children's rights. It found one child was on a waiting list to receive psychological assessment for over seven months.
In the area of fire safety, the inspectors found the recommendations of a fire consultant, which were made in 2014, had not been implemented.
The centre has committed to implementing the required changes to meet the standards.