St. John of God Kildare Services - DC 2

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St  John of God Kildare Services   DC 9, OSV 0003575, 18 July 2018

St John of God Kildare Services DC 9, OSV 0003575, 18 July 2018

The following information has been submitted by the registered provider and describes the service they provide. St. John of God Kildare Services Designated Centre 9 is a respite service for children aged between seven and eighteen years, and adults with an intellectual disability. The service is provided to both groups on alternate weeks. The individuals who avail of the respite service are supported by a staff team that comprises of a clinical nurse manager, a social care leader, nurses and social care workers. The centre consists of a two storey dwelling that provides services for a maximum capacity of five individuals. The length of stay varies from two to seven nights and depends on the needs of the individual and their family.
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St  John of God Kildare Services   DC 2, Kildare

St John of God Kildare Services DC 2, Kildare

This unannounced inspection was carried out to monitor compliance with specific outcomes and follow up on assurance reports provided to the Chief Inspector as a result of regulatory non compliance since commencement. A notice of proposal to cancel and refuse the registration of this centre (and other centres on this campus) was issued to this provider in 2015. This designated centre has not been registered by HIQA to date. This was the fifth inspection of this designated centre since the commencement of the regulatory process in disability services in November 2013. The last inspection of this centre was completed in June 2016. This inspection was focused specifically but not exclusively on assurances made by this provider to the Chief Inspector in 2017 that were to be implemented to improve the service provision and quality of life of residents living in this centre.
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St  John of God Kildare Services   DC 2, OSV 0002934, 22 March 2018

St John of God Kildare Services DC 2, OSV 0002934, 22 March 2018

Each resident's wellbeing and welfare is maintained by a high standard of evidence- based care and support. Each resident has opportunities to participate in meaningful activities, appropriate to his or her interests and preferences. The arrangements to meet each resident's assessed needs are set out in an individualised personal plan that reflects his /her needs, interests and capacities. Personal plans are drawn up with the maximum participation of each resident. Residents are supported in transition between services and between childhood and adulthood.

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St  John of God Kildare Services   DC 10, OSV 0001462, 18 September 2018

St John of God Kildare Services DC 10, OSV 0001462, 18 September 2018

The provider and or the person in charge is required to set out what action they have taken or intend to take to comply with the regulation in order to bring the centre back into compliance. The plan should be SMART in nature. Specific to that regulation, Measurable so that they can monitor progress, Achievable and Realistic, and Time bound. The response must consider the details and risk rating of each regulation set out in section 2 when making the response. It is the provider’s responsibility to ensure they implement the actions within the timeframe.

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St John of God Kildare Services   Designated Centre 14

St John of God Kildare Services Designated Centre 14

Each resident's wellbeing and welfare is maintained by a high standard of evidence- based care and support. Each resident has opportunities to participate in meaningful activities, appropriate to his or her interests and preferences. The arrangements to meet each resident's assessed needs are set out in an individualised personal plan that reflects his /her needs, interests and capacities. Personal plans are drawn up with the maximum participation of each resident. Residents are supported in transition between services and between childhood and adulthood.

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St John of God Kildare Services   Designated Centre 15

St John of God Kildare Services Designated Centre 15

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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St John of God Kildare Services   DC 13, OSV 0002964, 13 September 2018

St John of God Kildare Services DC 13, OSV 0002964, 13 September 2018

The provider and or the person in charge is required to set out what action they have taken or intend to take to comply with the regulation in order to bring the centre back into compliance. The plan should be SMART in nature. Specific to that regulation, Measurable so that they can monitor progress, Achievable and Realistic, and Time bound. The response must consider the details and risk rating of each regulation set out in section 2 when making the response. It is the provider’s responsibility to ensure they implement the actions within the timeframe.

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St  John of God Kildare Services   DC 4, OSV 0002936, 05 October 2017

St John of God Kildare Services DC 4, OSV 0002936, 05 October 2017

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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St  John of God Kildare Services   DC 7, OSV 0002944, 06 September 2018

St John of God Kildare Services DC 7, OSV 0002944, 06 September 2018

The provider and or the person in charge is required to set out what action they have taken or intend to take to comply with the regulation in order to bring the centre back into compliance. The plan should be SMART in nature. Specific to that regulation, Measurable so that they can monitor progress, Achievable and Realistic, and Time bound. The response must consider the details and risk rating of each regulation set out in section 2 when making the response. It is the provider’s responsibility to ensure they implement the actions within the timeframe. Compliance plan provider’s response:
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St  John of God Kildare Services   DC 9, OSV 0003575, 18 January 2018

St John of God Kildare Services DC 9, OSV 0003575, 18 January 2018

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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DC 6   St  John of God Kildare Services

DC 6 St John of God Kildare Services

Residents are consulted with and participate in decisions about their care and about the organisation of the centre. Residents have access to advocacy services and information about their rights. Each resident's privacy and dignity is respected. Each resident is enabled to exercise choice and control over his/her life in accordance with his/her preferences and to maximise his/her independence. The complaints of each resident, his/her family, advocate or representative, and visitors are listened to and acted upon and there is an effective appeals procedure.

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DC5 St  John of God Kildare Services

DC5 St John of God Kildare Services

As part of this inspection, the inspectors met, spoke to and observed a number of residents who lived in this centre. Some residents spoke to inspectors and some residents communicated on their own terms. Some residents had commenced attending day services outside the designated centre since the previous inspection and others were on holidays at the time of this inspection. Inspectors were informed of a serious incident that occurred in this centre on the night prior to this inspection and observed the broken windows on arrival to this centre. This will be discussed further in the main body of this report.
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St  John of God Kildare Services   DC 1, Kildare

St John of God Kildare Services DC 1, Kildare

Inspectors found that there had been two fire related incidents requiring evacuation in August 2016. One incident involved burning food being put in an internal bin in a day service (part of the building) resulting in a full evacuation being completed of all parts of the building. A second incident occurred at night when a coat was put on a lamp/light that set off the fire alarm causing a near miss whereby a full evacuation was not completed. Inspectors were not satisfied that a full/simulated evacuation had taken place in this centre with the lowest complement of staff on duty, e.g. 2:11. This was an identified action on previous inspections prior to the two near misses that occurred in this centre. In addition, this area (assurance around fire evacuation) was also subject to immediate action on previous inspections when the centre was under a different
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St  John of God Kildare Services   DC 3, Kildare

St John of God Kildare Services DC 3, Kildare

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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St  John of God Kildare Services   DC 12

St John of God Kildare Services DC 12

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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DC5 St  John of God Kildare Services

DC5 St John of God Kildare Services

inspections and was observed as being removed on day two of this inspection following feedback on day one. Several toilets had tiles falling off the walls or missing completely. One resident was observed to be in bed for eight hours on day one of inspection. On the second day of inspection this resident was in bed at 2 pm. Inspectors queried this with staff following which the resident was observed to be up and dressed by 2.30 pm. Engagement with this resident was observed to be minimal and inspectors had a number of concerns relating to this residents healthcare needs, mental health and stimulation within the centre. This will be discussed further under Outcome 11.
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St  John of God Kildare Services   DC 7

St John of God Kildare Services DC 7

The quality of care and experience of the residents are monitored and developed on an ongoing basis. Effective management systems are in place that support and promote the delivery of safe, quality care services. There is a clearly defined management structure that identifies the lines of authority and accountability. The centre is managed by a suitably qualified, skilled and experienced person with authority, accountability and responsibility for the provision of the service.

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A designated centre for people with disabilities operated by St John of God Community Services Limited, Kildare

A designated centre for people with disabilities operated by St John of God Community Services Limited, Kildare

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 St John of God Community Services Limited, Kildare

A designated centre for people with disabilities operated by St John of God Community Services Limited, Kildare

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 St John of God Community Services Limited, Kildare

A designated centre for people with disabilities operated by St John of God Community Services Limited, Kildare

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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