Daughters of Charity - Intellectual Disability Services

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A designated centre for people with disabilities, operated by Daughters of Charity   Intellectual Disability Services, Limerick

A designated centre for people with disabilities, operated by Daughters of Charity Intellectual Disability Services, Limerick

therapy, dietician, physiotherapist and psychiatrist. Clinical nurse specialists in health promotion, infection control, feeding and nutrition and tissue viability were also available to support the person in charge. There were established monthly management meetings where the managers of services could meet to discuss common areas of interest and share their learning. The person in charge told the inspector that she felt well supported in her role and could contact any member of the management team at any time should she have a concern or issue in relation to any aspect of the service.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

Inspectors reviewed a sample of healthcare assessments and care plans across all four units. Variations in practice were identified between the four units. For some residents, clinical risk assessments were in use and included risk assessments relating to the risk of pressure sore development, dementia, malnutrition, dehydration and falls. However, a clinical risk assessment had not been completed for a resident who had compromised skin circulation and was at risk of pressure sores. This risk was confirmed by the CNM1. At the previous inspection, it was identified that the risk assessment tool in use for the prevention of falls was not validated for use for a younger person with an intellectual disability in a non-acute setting. Since the previous inspection, a new screening tool and risk assessment had been developed and introduced. Inspectors viewed a sample of these assessments. The screening tool was comprehensive and identified key risk factors. Where the screening tool identified a risk of falls, a risk assessment was

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

The centre is part of the services provided in a congregated setting by the Daughters of Charity, Limerick, a voluntary organisation set up to support the needs of persons with a diagnosis of an intellectual disability. The centre comprised of one bungalow which accommodated up to six female residents. There were five residents at the time of inspection with another resident in the process of transferring to the centre. The house was located in close proximity to other houses and on a campus which had well maintained gardens, a swimming pool, a church, a gym and a variety of day services.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

There was sufficient staff with the right qualifications and experience to meet the assessed needs of residents at all times. The service was staffed by nursing staff who held a qualification in intellectual disability nursing or children's nursing, and one health care assistant was on the staff team. Additional agency health care assistant staff were rostered if required. Two members of household staff were on the roster and student nurses also worked in the centre. Many of the children who attended the centre had significant medical needs and it was appropriate that nursing staff were employed in the centre, this was in line with the centre's statement of purpose. Inspectors observed staff interaction with children and found them to be respectful and timely in their provision of care to children.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

The provider must produce a document called the statement of purpose that explains the service they provide. The inspector found that the service was being provided as it was described in that document. The centre was a bungalow located on a campus providing numerous facilities for people with intellectual disabilities in addition to residential accommodation. The campus was close to a village, which was on the outskirts of a large city. The bungalow contained single occupancy bedrooms for the residents as well as communal living facilities. The service was available to adult women who had severe and or profound intellectual disabilities.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd , Dublin

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd , Dublin

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

Residents were supported to participate in a range of activities in the local and wider community including meals out, swimming, Special Olympics training and events, horse riding and adult education classes. Residents enjoyed socialising in the local community and informed the inspector they were looking forward to going to a musical soon in the local concert hall. A number of residents had been involved in a dance production in a local arts venue in March 2016. Staff supported residents to be involved in the local community and residents with whom the inspector spoke reported that they had registered to take part in a 10km walk as part of the upcoming athletics event with some staff. Residents were encouraged to shop and use services such as public transport locally.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

At the previous inspection it had been identified that the review of the personal plan was not multi-disciplinary. There was evidence of multidisciplinary team involvement seen by the inspector for all residents, in line with their needs, including psychiatry, speech and language therapy, general practitioner (GP), optical, audiology and psychology services. However, the inspector reviewed a sample of personal plans and saw that the review was not multi-disciplinary. This was confirmed with residents, the person in charge and the person nominated to act on behalf of the provider. The person nominated to act on behalf of the provider outlined that a process was being rolled out across the service to ensure that the review of the personal plan was multi-disciplinary and would be

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd   Tipperary

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd Tipperary

The inspector was directed to a Child Protection Policy (2012) which was in place but this policy specifically related to children and the designated centre provided services to adults. The inspector was then directed to a policy entitled 'Procedures on Management and Reporting for Welfare Concerns for Service Users' (2009). The inspector noted ambiguity and confusion on the part of staff over the course of inspection as to which policy guided practice in terms of protecting vulnerable adults. In discussing this issue at preliminary feedback the provider stated that another policy was in development and this was an area currently being worked on by the provider.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

There were arrangements in place for children to be involved in choosing and assisting to prepare meals in the centre. Each of the two contained living areas in the house had a fully equipped kitchen and a dining area with adequate seating to allow meal times to be a social occasion. The service had a nutrition and hydration policy, dated March 2015 in place. The inspector reviewed templates for recording nutritional intake. There was evidence of email correspondence to the services dietician requesting an assessment for the identified children as part of their admission process. There was a menu planner in place with pictures to assist children to choose what food or meals that they would like. Two of the children identified to attend the centre where from a different ethnic

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd   Dublin

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd Dublin

Efforts were made to assess the frequency of community participation for residents. However, many personal care plans reviewed spoke about a need or desire to access more community facilities more frequently, such as swimming, dining out, going out for coffee, accessing shopping centres and going to the local church. For some individuals these relatively basic opportunities were only provided 2/3 times per month and the plans stated they were enjoyed greatly by the resident concerned. Centralised practices exist in the centre where community facilities were provided in the centre, such as the provision of General Practitioner (GP) services, celebrating mass, hairdressing and food delivery. These were all services freely available within the community, facilities which encourage community access and integration.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd   Tipperary

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd Tipperary

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd   Tipperary

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd Tipperary

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.

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A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

Communications systems had improved. There had been two team meetings since the previous inspection which were well attended by the staff team, the clinical services manager and the children's service manager. Items on the agenda included the children, fire drills, medication practices, risk management training and a child protection and welfare presentation. The most recent team meeting minutes reflected agreed actions, timelines and person responsible to ensure accountability for decisions made among the staff team. There were also monthly meetings between the regional manager and the clinical nurse manager and minutes of these meetings reflected that the children, staff, training and audits were discussed.

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A designated centre for people with disabilities operated by Daughters of Charity Disability
Support Services LtdA designated centre for people with disabilities operated by Daughters of Charity Disability
Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services LtdA designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.

22 Read more

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

A designated centre for people with disabilities operated by Daughters of Charity Disability Support Services Ltd

The purpose of regulation in relation to designated centres is to safeguard vulnerable people of any age who are receiving residential care services. Regulation provides assurance to the public that people living in a designated centre are receiving a service that meets the requirements of quality standards which are underpinned by regulations. This process also seeks to ensure that the health, wellbeing and quality of life of people in residential care is promoted and protected. Regulation also has an important role in driving continuous improvement so that residents have better, safer lives.

26 Read more

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