Millhouse Care Centre

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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre is a purpose-built two-storey centre, which provides residential care for 62 people. Approximately 35% of residents have dementia. The atmosphere was homely, comfortable and in keeping with the overall assessed needs of the residents who lived there. A wing has recently been designated as a dementia specific unit with a total of 9 beds. This wing is referred to as the Memory Unit. Each resident was assessed prior to admission to ensure the service could meet their needs and to determine the suitability of the placement. Residents had access to general practitioner (GP) services and to a range of other health services. Residents had a comprehensive assessment undertaken and care plans were in place to meet their assessed needs although some gaps were noted. Improvement was also required to ensure that the care plans were updated to reflect recommendations from allied health professionals.
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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

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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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

The deputy person in charge told inspectors that he was supported by the healthcare manager who was always available by phone or email. The practice development facilitator was present in the centre on the day of inspection. She told inspectors that her role was mentorship, support and guidance to the deputy person in charge. It was her first meeting with the deputy on the day of inspection. Inspectors found that the support provided by the Registered Provider was insufficient considering the absence of the person in charge in addition to the type and number of non compliances identified throughout the inspection. Inspectors were not satisfied that the deputy person in charge could ensure that the service provided was safe, appropriate, consistent and effectively monitored.
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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

The Person-in-Charge will review all care plans to ensure that they accurately reflect the nutritional status of each resident, including nutritional intake, an indication of how frequently weight recordings are required, close monitoring of weight loss or weight gain, requirement for dietary supplements or fortification. The Person-in-Charge will ensure that the recommendations of the dietitian are incorporated into the nursing care plan. The Person-in-Charge will ensure that all care staff and catering staff are aware of the specific dietary requirements of residents as appropriate.
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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

A comprehensive policy for the monitoring and documentation of nutritional intake was in place dated 1 July 2013 and a review of care plans indicated this was implemented in practice. Residents were assessed on admission including weight, oral health, dietary needs and preferences. A food and nutrition folder was in place to provide staff with advice and guidance around maintaining a positive dining experience and attention to a residents' personal needs around mealtimes. A communications folder was in place to ensure that information between carers and kitchen staff could be appropriately relayed and updated. This included information around special dietary requirements. Where swallow plans were in place they were also discreetly available for reference by staff in residents' rooms.
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Millhouse Care Centre, OSV 0000252, 6 February 2018

Millhouse Care Centre, OSV 0000252, 6 February 2018

convalescence, dementia and palliative care. Care for persons with learning, physical and psychological needs can also be met within the centre. Care is provided for people with a range of needs: low, medium, high and maximum dependency. This centre is situated on the outskirts of a town. It is constructed over two floors. Access between floors is serviced by a lift and stairs. Bedroom accommodation consists of 54 single and four twin rooms, all with full en-suite facilities. Sufficient communal accommodation is available including day rooms and dining areas as well as a prayer room and library space. There are a number of toilets and bathrooms throughout the building. Kitchen and laundry facilities are located on the ground floor. There are nurses and care assistants on duty covering day and night shifts. Adequate supervision is provided.
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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

The inspector found that while some improvement had taken place, some actions required from previous inspections around the use of restraint had not been addressed. The inspector reviewed the care plans of residents who were using bedrails and lap belts and found that details of the use and type of restraint were included. The care plans reviewed now outlined how often safety checks should be completed when bedrails were in use, an action required from the previous inspection. However there was still limited documented evidence that these safety checks were being completed in line with national guidelines. A detailed policy was in place but was not implemented by staff. It is acknowledged that overall usage of restraint was low and additional equipment such as low beds had been purchased to reduce the need.
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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Overall, the inspector was satisfied that residents received a quality service. There was evidence of improved levels of compliance, in a range of areas, with the Health Act 2007 (Care and Welfare of Residents in Designated Centres for Older People) Regulations 2013 and the National Standards for Residential Care Settings for Older People in Ireland. Eight of 13 actions required from the previous inspection had been addressed including the major non-compliances. Although not within the agreed timescales, an improvement plan was underway to complete the remaining five, some of which were partially completed. Additional improvements were also identified at this inspection.
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Brookfield Care Centre, Leamlara, Cork

Brookfield Care Centre, Leamlara, Cork

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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Brookfield Care Centre, Leamlara,Cork

Brookfield Care Centre, Leamlara,Cork

infections and the premises were found to be clean and there was a good supply of personal protective equipment (PPEs) such as gloves and aprons and hand gel. However it was observed that some staff did not perform hand hygiene before donning PPEs and some of the practices observed in relation to infection control were not in line with best practice guidelines. Advisory signage for best practice hand washing was not displayed over hand wash sinks. This had been sourced by day two of the inspection and put in place. A number of staff, including cleaning staff, had not completed training in infection prevention and control. The person in charge told the inspectors they are currently looking at the whole area of infection control and have complete care standard audits on staffs adherence to best practice guidelines. She informed the inspectors that six
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Brookfield Care Centre, Leamlara, Cork

Brookfield Care Centre, Leamlara, Cork

occasions, to ensure that their wishes were documented and subsequent end-of-life care plans were seen by the inspector in the files of residents. Residents had signed the care plan where this was possible and relatives were consulted to ascertain the wishes of residents who were cognitively impaired. The inspector was shown minutes of meetings with the families and also shown documentation which indicated that end of life wishes were reviewed on a regular basis with residents and relatives where appropriate. The inspector spoke with family members who said that the person in charge was very approachable and that the staff and the GP would give advice and regular updates on the care being provided at all stages.
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Breffni Care Centre, Ballyconnell, Cavan

Breffni Care Centre, Ballyconnell, Cavan

While mobile screens were available there are limitations in multi occupancy bedrooms to ensure adequate privacy. The provider at the time of this inspection did not have in place a plan to reconfigure multiple occupancy bedroom accommodation. This is required in accordance with the premises and physical environment regulatory notice and the National Quality Standards for Residential Care settings for Older People in Ireland.

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Breffni Care Centre, Ballyconnell, Cavan

Breffni Care Centre, Ballyconnell, Cavan

corresponding care plan which detailed the nursing care, medications/food supplements prescribed; specific care recommendations from visiting inter disciplinary team members and the general practitioners instructions. However, one resident with a swallowing difficulty did not have plan of care. While the recommendations from the speech and language therapist were available, a plan of care was not devised to manage all aspects of the problem and ensure regular review. There was access to the GP and allied health professionals for residents who were identified as being at risk of poor nutrition or
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Costello's Care Centre, Ballyleague, Roscommon

Costello's Care Centre, Ballyleague, Roscommon

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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Hepatobiliary alterations in Ulcerative colitis: A report from  a tertiary care centre in Odisha

Hepatobiliary alterations in Ulcerative colitis: A report from a tertiary care centre in Odisha

Hepatobiliary manifestations are amongst the most important extraintestinal There is paucity of data on hepatobiliary The study was carried out to evaluate the hepatobiliary alterations in ulcerative colitis patients admitted to a tertiary care centre in Odisha. admitted to Gastroenterology Department SCB Medical College, Cuttack from 0ct 2013 to April 2015 were included in the study. Patients with history of liver diseases were excluded. All patients were subjected to clinical examination, liver hepatobiliary alterations. MRCP was performed in selected patients. Controls were recruited from healthy subjects (n=100). Results: A total of 112 patients [73(65.1 %%) male; 39(34.9%) female] with ulcerative colitis were included. The mean age respectively. Patients with mild, moderate and severe disease activity were 22(19.6%), 67(59.8%) and 23(20.5%) respectively. The median duration 48). Extra intestinal manifestations were found in 68 6(5.3%) had arthritis, 13(11.6%) had episcleritis,2(1.7%) had stomatitis, 3(2.6%) had Erythematic Nodosum, 1(0.9%) had pyoderma Gangrenosum. 60 (53.8%) patients developed hepatobiliary alterations.2(1.7%) had jaundice, pruritus and clay colored stool in whom MRCP revealed primary sclerosing cholangitis. 22(19.6%) had hepatic steatosis, 42(37.5%) had asymptomatic transaminitis, 17(15.1%) had elevated alkaline In control groups 17(17%) had hepatic steatosis, 28(28%) had transaminitis, 8(8%) had elevated alkaline phosphatase. Conclusion: The study revealed that approximately 61% of Ulcerative colitis patients had extra intestinal manifestations. Hepatobiliary alterations are the most common (53.5%) extra intestinal manifestations in Ulcerative colitis and asymptomatic transaminitis is the most common hepatobiliary alterations in the patients with
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Planning and designing of a stem cell centre in a tertiary care hospital

Planning and designing of a stem cell centre in a tertiary care hospital

The stem cells in Cryo-bags are stored in tanks that are cooled by vapors or liquid nitrogen. Liquid nitrogen is less subject to fluctuations in temperature. The storage temperature is maintained at -196 C. the computer system constantly monitors and tracks stem cells at all times. The tanks have inbuilt trolleys, for shifting in classes of any calamities (Gorin, 1992; Aird et al., 1990 and Stiff, 1991).Basic services (FACT- JACIE, 2010 and UNDP/World Bank/WHO) infrastructure of the Centre should be planned according to the services provided. The basic infrastructure facilities include:
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Prevalence of Dermatophytosis in a Tertiary Care Centre.

Prevalence of Dermatophytosis in a Tertiary Care Centre.

Though various Indian and International studies on epidemiology of dermatophytes are available, no such study has been carried out in Madurai. Since Government Rajaji Hospital, (GRH) Madurai is the largest tertiary care hospital affiliated to Madurai Medical College catering to the needs of lakhs of people from the southern districts of Tamilnadu, the present study was carried out among patients attending GRH and the data were analysed with reference to objectives.

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Costello's Care Centre, Ballyleague, Roscommon

Costello's Care Centre, Ballyleague, Roscommon

There were 27 residents in the centre during the inspection and one in hospital. There were ten residents with maximum care needs. Four residents were assessed as highly dependent. Seven had medium dependency care needs. Six residents were considered as low dependency. Many residents were noted to have a range of healthcare issues and the majority had more than one medical condition.

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Ibuprofen versus mecillinam for uncomplicated cystitis   a randomized controlled trial study protocol

Ibuprofen versus mecillinam for uncomplicated cystitis a randomized controlled trial study protocol

We expect some gastrointestinal adverse effects for both treatments. All adverse effects will be registered in the diary. If the patient should experience an allergic reac- tion, a severe adverse effect or signs of developing an upper UTI, she is instructed to contact the study centre or the local emergency unit immediately. These condi- tions demand a change of active treatment and may be a cause to reveal the active substance this patient has been given. A box containing a sealed envelope for each study number will be kept at each study centre. Each envelope, marked only with the study number, contains a note with the name of the active substance given to this pa- tient. If unblinding is necessary, the envelop for this study number will be opened and the patient and the doctor treating the patient will be informed of what active substance the patient has received. The doctor re- sponsible for the study will not be informed and will stay blinded.
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Physicochemical Characterization and Determination of Trace Metals in Sugar Manufactured from Sugar Cane

Physicochemical Characterization and Determination of Trace Metals in Sugar Manufactured from Sugar Cane

From table 3 the pH of cane wash, mill house, boiling house, upstream and downstream was 7.15, 6, 6.06, 6.93 and 6.92 respectively. The results indicated that the pH of cane wash, upstream and downstream samples was nearly neutral. Millhouse and boiling house were slightly acidic. The upstream and downstream water samples exhibited similar pH value. The acidity of effluents such as mill house and boiling is because of the fact that sucrose decompose into monosaccharide, organic acids and alcohols [17].

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