Suicide ligature points left in unit
MENTAL health inspectors who visited a psychiatric unit, where two patients had taken their own lives, found the fixtures which had been used in the tragedies had not been removed.
The inspection of St Luke's Hospital in Kilkenny found that one of the ligatures was on a door of one of the toilets. The other was on the handle of the door inside the ensuite in a single room.
"There had been two incidents concerning these ligature points that had been notified to the Mental Health Commission prior to inspection," the report stated.
"On inquiry by inspectors, management subsequently advised that incident reviews into the two suicides had taken place, and where recommendations were made processes had been put in place to address them."
But the mental health inspectors found the assessments done by a junior were of poor standards, with a number of key areas of assessment missing and the documentation was poor.
Separately, inspectors who visited a unit in Waterford Regional Hospital found that despite the completion of building works, the two TVs in the acute area of the unit were located in the two four-bed rooms. "There was no communal area for residents to watch TV," it found, and there were no visiting areas set aside in the acute part of the unit.