A resident of a home for the intellectually disabled banged their bedroom door for up to two hours some nights - but staff were not able to respond, an inspector's report has revealed.
The detached house, run by St John of God community services in Tallaght in Dublin, has five residents but inspectors found all staff did not have up-to-date knowledge of how to de-escalate challenging behaviour by residents.
On one occasion a resident was "targeting" staff and they had to retreat to their office for safety, the Health Information and Quality Authority (Hiqa) revealed.
When inspectors visited in July there was no hot water available due to a leak and the centre was cold for residents.
Some staff were unable to tell inspectors about individual residents' medicines and what the tablets were used for.
Nine staff were not available for work on the first day of inspection. A part-time relief staff member who was due to finish working in the centre was unable to do so as there was no staff person to take their place.
The centre has now received an action plan to address issues highlighted by the inspectors.
Meanwhile, ALONE, the charity that provides services for older people in need, welcomed the announcement that €450m will be allocated for the refurbishment or replacement of state-owned nursing homes and facilities for people with disabilities.
Chief executive Sean Moynihan said ALONE had been campaigning on the issue and said there had been no significant capital investment in public nursing homes for many years.