Cedar House Nursing Home

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Cedar House Nursing Home, OSV 0000023, 25 April 2018

Cedar House Nursing Home, OSV 0000023, 25 April 2018

There were a small number of residents who were assessed as requiring the use of bed rails in the centre. There was a clear policy on the use restrictive practices. The policy, practice and assessment forms reviewed reflected practice that was in line with national policy, as outlined in 'Towards a Restraint Free Environment in Nursing Homes' (2011). Alternatives to the use of any bedrails were documented in the resident's records. The provider was no involved in administering pensions or acting as a pension agent. A small number of residents had supports in place with storage of some items of personal property. The governance and oversight on this was found to be satisfactory and
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Cedar House Nursing Home, 35 Mount AnvillePark, Goatstown, Dublin 14

Cedar House Nursing Home, 35 Mount AnvillePark, Goatstown, Dublin 14

management. Medicines were supplied to the centre by a retail pharmacy business in a monitored dosage system which was appropriate. Medicines were stored securely in the centre in a medication trolley or within locked storage cupboards. A secure fridge was available to store all medicines and prescribed nutritional supplements that required refrigeration, and temperatures were checked and recorded on a daily basis. Controlled drugs were stored securely within a locked metal cabinet, and balances of all controlled drugs were recorded in the controlled drugs register. Nursing staff checked and
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Cedar House Nursing Home, 35 Mount Anville Park, Goatstown, Dublin 14

Cedar House Nursing Home, 35 Mount Anville Park, Goatstown, Dublin 14

Overall, medicines were found to be managed well, and safe practices were observed. Staff confirmed that a pharmacist from the retail pharmacy who supplied medicines to the centre was facilitated to visit the centre, and meet their obligations to residents as required by the Pharmaceutical Society of Ireland. Records reviewed by the inspector were maintained to a high standard. None of the residents currently self-medicated. A new pharmacy provider had commenced supplying residents' medicines in a monitored dosage system, since the time of the last inspection. Nursing staff were familiar with all revised procedures for ordering, delivery, storage, and disposing of unused or out-of-date medicines. The medication prescription sheet contained details for prescribing for any crushed medications. Medicines management audits were conducted within the centre as part of the quality and clinical governance system in place.
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Cedar House Nursing Home, 35 Mount Anville Park, Goatstown, Dublin 14

Cedar House Nursing Home, 35 Mount Anville Park, Goatstown, Dublin 14

Each residents wellbeing and welfare is maintained by a high standard of evidence- based nursing care and appropriate medical and allied health care. Each resident has opportunities to participate in meaningful activities, appropriate to his or her interests and preferences. The arrangements to meet each residents assessed needs are set out in an individual care plan, that reflect his/her needs, interests and capacities, are drawn up with the involvement of the resident and reflect his/her changing needs and

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Bailey House Nursing Home, Killenaule, Thurles, Tipperary

Bailey House Nursing Home, Killenaule, Thurles, Tipperary

Each residents wellbeing and welfare is maintained by a high standard of evidence- based nursing care and appropriate medical and allied health care. Each resident has opportunities to participate in meaningful activities, appropriate to his or her interests and preferences. The arrangements to meet each residents assessed needs are set out in an individual care plan, that reflect his/her needs, interests and capacities, are drawn up with the involvement of the resident and reflect his/her changing needs and

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Elmgrove House Nursing Home Syngefield, Birr, Offaly

Elmgrove House Nursing Home Syngefield, Birr, Offaly

It is a two storey building with three split levels internally. The inspector was informed that the centre has been operational as a nursing home since 1988 and was a listed building. It is located on the outskirts of a town where community facilities, resident’s general practitioners (GPs) and pharmacy services were available. A mature garden around the centre and a secure courtyard and garden area adjoining it was available. A spacious car park was available at the front of the centre. Entry was via the main front door in to the reception area.

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Ballinamore House Nursing Home, Ballinamore, Kiltimagh, Mayo

Ballinamore House Nursing Home, Ballinamore, Kiltimagh, Mayo

Proposed Timescale: 25/01/2015 Outcome 12: Safe and Suitable Premises Theme: Effective care and support The Registered Provider is failing to comply with a regulatory requirement in the [r]

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Ballinamore House Nursing Home, Ballinamore, Kiltimagh, Mayo

Ballinamore House Nursing Home, Ballinamore, Kiltimagh, Mayo

Requirements This section sets out the actions that must be taken by the provider or person in charge to ensure compliance with the Health Act 2007 Care and Welfare of Residents in Desig[r]

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Ballinamore House Nursing Home, Ballinamore, Kiltimagh, Mayo

Ballinamore House Nursing Home, Ballinamore, Kiltimagh, Mayo

The action plan at the end of the report contains the actions required to ensure compliance with the Health Act 2007 Care and Welfare of Residents in Designated Centres for Older People [r]

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Bailey House Nursing Home, Killenaule, Thurles, Tipperary

Bailey House Nursing Home, Killenaule, Thurles, Tipperary

The food served was sufficient in quantity, freshly prepared, nutritious and wholesome and was of a good standard. The kitchen facilities were adequate, visibly clean and organised. The inspector observed that there was a clear, documented system between nursing and catering staff regarding residents' meal choices and preferences. The inspector spoke with the catering staff on duty who demonstrated comprehensive knowledge of residents’ preferences and dietary needs

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Athlunkard House Nursing Home, Athlunkard, Westbury, Clare

Athlunkard House Nursing Home, Athlunkard, Westbury, Clare

medications and this was discussed with the management team who gave the inspectors a copy of a comprehensive audit tool they were planning to use. Medication reviews were completed at three monthly intervals and this was evidenced on residents’ prescriptions. The pharmacist attended the centre on a regular basis to do a complete review of residents’ medication management as well as education sessions with staff. The pharmacist was also in discussion with the staff around giving advice and support to residents about their individual medication regime but this had not commenced to date. Medications were delivered in monitored dose units and these were checked by nursing staff to verify that what was delivered corresponded with prescription records.
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Elmgrove House Nursing Home, Syngefield, Birr, Offaly

Elmgrove House Nursing Home, Syngefield, Birr, Offaly

Proposed Timescale: 24/03/2017 Outcome 02: Safeguarding and Safety Theme: Safe care and support The Person in Charge PIC is failing to comply with a regulatory requirement in the followi[r]

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Athlunkard House Nursing Home, Athlunkard, Westbury, Clare

Athlunkard House Nursing Home, Athlunkard, Westbury, Clare

The management continued to provide training to staff. Training records reviewed indicated that training had taken place during 2014 on falls management, incontinence, dysphagia and more recently infection control. Some nursing staff had training in cardiac prevention resuscitation CPR, wound management, palliative care and vena puncture. There was a training plan in place for 2015. Staff had not received up to date training on medication management, care planning, management of restraint and behaviours that challenge.

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Athlunkard House Nursing Home, Athlunkard, Westbury, Clare

Athlunkard House Nursing Home, Athlunkard, Westbury, Clare

Inspectors noted that the policy on behavioural management was still not fully reflected in practice. Inspectors reviewed the files of residents presenting with behaviours that challenged and noted that there were no behavioural assessments or monitoring charts on file as outlined in the policy. The provider told inspectors that she had attended one of a two day dementia and challenging behaviour training course and was due to attend day 2 following the inspection, she stated that this training was scheduled for staff in the nursing home on 23 April 2015.

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Athlunkard House Nursing Home, Athlunkard, Westbury, Clare

Athlunkard House Nursing Home, Athlunkard, Westbury, Clare

risks and actions taken to control those identified risks. Potential risks to resident's identified at the last inspection had been addressed. Systems were in place to ensure the risk register was updated following the identification of any new risks such as residents smoking in bedrooms, resident absconsion and reduced availability of nursing staff.

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Kilcara House Nursing Home, Kilcara, Duagh, Kerry

Kilcara House Nursing Home, Kilcara, Duagh, Kerry

Following the inspection the registered provider, the person in charge and assistant director of nursing met with the pharmacist to discuss the medication management system and how to improve it. The Director of Nursing will continuously review the medicines management policies and procedures in place in the service to ensure that they are in line with evidence based practice and legislation, and that they continue to meet resident’s needs and expectations. The Director of Nursing and pharmacist will audit and review adherence by staff to the medicines management policies and procedures. The director of nursing will take appropriate action when these documented policies and procedures are not being adhered to. This ensures that medicines management is continuously improved in the service.
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Lake House Nursing Home, Portnablagh, Dunfanghy, Donegal

Lake House Nursing Home, Portnablagh, Dunfanghy, Donegal

Each residents wellbeing and welfare is maintained by a high standard of evidence- based nursing care and appropriate medical and allied health care. Each resident has opportunities to participate in meaningful activities, appropriate to his or her interests and preferences. The arrangements to meet each residents assessed needs are set out in an individual care plan, that reflect his/her needs, interests and capacities, are drawn up with the involvement of the resident and reflect his/her changing needs and

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Middletown House Nursing Home, Ardamine, Gorey, Wexford

Middletown House Nursing Home, Ardamine, Gorey, Wexford

The inspector observed that a multidisciplinary approach was undertaken to include the resident where possible, their representative, the GP and the nursing team. However, residents with a do not resuscitate (DNR) status in place did not have the DNR status regularly reviewed to assess the validity of clinical the judgement on an on going basis. Most residents had a plan of care for end-of -life. The care plans contained detail of personal or spiritual wishes. Decisions concerning current and future healthcare interventions and advance care planning required review. Resident’s preferences with regard to transfer to hospital if of a therapeutic benefit were not documented in all of the end-of -life care plans reviewed.
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Middletown House Nursing Home, Ardamine, Gorey, Wexford

Middletown House Nursing Home, Ardamine, Gorey, Wexford

There were suitable arrangements in place to meet the health and nursing needs of residents with dementia. Comprehensive assessments were carried out and care plans developed and reviewed accordingly. The centre implemented an effective admissions policy which included a pre admission review. There were processes in place to ensure that when residents were admitted, transferred or discharged to and from the centre, that relevant and appropriate information about their care and treatment was readily available and shared between providers and services.

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Maypark House Nursing Home, Maypark Lane, Waterford

Maypark House Nursing Home, Maypark Lane, Waterford

This report sets out the findings of a two day announced inspection to inform a decision for the renewal of registration. Maypark Nursing Home is divided into two floors and is registered to accommodate 42 residents. On the days of inspection there were 27 residents living in the centre. The centre is located in the south east side of Waterford city. The premise was originally opened as Maypark House in the 1780's. The house was converted to a private hospital in the early 19th century. There has been significant extensions and renovations since then including the recent completion of suitable access to garden space to the rear of the centre.
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