separate room which could not be accessed by any resident independently. The manner in which this clothing was stored was chaotic and disrespectful. Personal space between beds was cramped; in one 4 bedded area all four residents chose to spend the day by their bedside. In this instance specialised seating for one resident took up significant space occupying the area between two beds so that another resident could not sit out in a chair to have lunch.
professionals. These included access to occupational and physiotherapy, as well as regular attendance by a speech and language therapist. Resources in relation to palliative care were available. There was access to community mental health services and referrals could be made to a consultant psychiatrist and gerontologist. Residents had regular access to a general practitioner (GP) and the services of a pharmacist were available. Management systems to support arrangements for supervision were in place. Staff had received appropriate clinical and professional training, however a number of staff had not received refresher training in the areas of safeguarding and fire-safety as required by the regulations. The inspector spoke with members of staff across the service and observed their practice in delivering care and undertaking their daily duties. The inspector also engaged with residents and visitors, seeking feedback on their experience of the service. Throughout the inspection both staff and management were responsive in providing information as requested. The inspectors observed effective and appropriate communication and interaction between staff and residents at all times. Residents and relatives spoken with expressed a very positive level of satisfaction with the care provided.
Officer is due to meet with Cork County Council Fire Authority on site to discuss the planned works and to ascertain if any additional works may be required by the Fire Authority. These works will involve the widening of doors in a number of wards and will entail the reduction of beds in the hospital from 40 to 33, for which the Chief Officer has approved. The removal of these 7 beds has already taken place to allow for evacuation drills to happen and also to prepare for the
findings of repeated regulatory non-compliance over four inspections. The inspection of the 08 August 2018 raised concerns about fire safety in KanturkCommunityHospital. On foot of these concerns the Office of the Chief Inspector referred the centre to the local Fire Authority for review. This inspection found a lack of urgency on the part of the HSE in responding to the issues raised and a failure of senior HSE managers with responsibility for the centre to take ownership of and implement the required measures. As a result, there was a fragmented approach to addressing those issues as evidenced by:
The residents’ personal plans promoted meaningfulness and independence in their lives and recognised the intrinsic value of the person by respecting their uniqueness. Two residents attended a local day service and one resident was engaged in a New Directions type programme that provided person-centred support which was tailored to meet individual need, promote community inclusion and independence.
There was a suitable end of life policy available that had been most recently reviewed in June 2018. At the time of inspection there were no residents receiving end of life care. Overall there was evidence of a good standard of medical and clinical care provided and the person in charge outline that if required, appropriate access to specialist palliative care services was provided. The inspector found that staff were aware of the policies and processes guiding end of life care in the centre. Staff were able to describe suitable and respectful care practices in relation to end of life care provision, including ensuring their spiritual and religious preferences were met. There were facilities to support relatives to remain with their loved ones during end-of-life.
Residents stated that they enjoyed living in the centre. They had access to a variety of meaningful and entertaining activities. They said that visitors were unrestricted. They were familiar and comfortable with the person in charge and staff. Residents expressed satisfaction with all aspects of care. The views from the centre were spectacular and provided an opportunity for reminiscence, for example, one resident spoke with the inspector about her experience of living on the nearby island as a young person. Residents said that they felt safe, they were treated well and were encouraged to voice their opinion on any suggested improvements or proposed changes. Residents said that they were aware of the advocacy service which was advertised in the centre. They were consulted on a daily basis, during the annual survey and also at the two-monthly residents' meetings. A number of residents said that they went out with family members at weekends and that staff went with them to attend outpatient appointments. Resident praised staff members who guided them in chair-based exercise sessions and concerts. Community events were organised and transport was made available to residents to enable them to attend external events. Residents particularly liked the involvement of the West Cork Arts group. This group supported residents to create poetry, paintings and facilitated reminiscence sessions. Residents expressed their delight in the fact that their work was framed and displayed throughout the centre. They told the inspector that it was a great source of pride that their grandchildren were able to gain a better
The care provided by staff was described as a positive feature of the service. Residents said that staff were kind, very approachable and worked hard to ensure they were comfortable and happy in the centre. They told the inspector that staff had created a lovely relaxed atmosphere. Residents were supported to remain independent and in contact with the local community. They described the contacts they had with local schools through the intergenerational project and said they were informed about community events. Food choices were described as varied and residents on specialist diets said that they were provided with meals that suited their needs.
Residents had a good quality of life with meaningful activities, work, access to the community and to holidays based on their individual needs and their own expressed preferences. This were supported by access to range of pertinent allied services and assessments including health care, psychology and psychiatry which helped to inform the personal plans for the residents. Easy read versions of their personal plans were used by the residents.
The inspector saw that staffing arrangements included a number of extra hours allocated on Saturday and Wednesday to support the residents attend activities that promoted community inclusion, independence and the well being. However the inspector found in one area of the centre that staffing ratios did not enable flexibility to respond to residents' changing needs and the way they wished to live their lives. The inspector found that there were arrangements in place for continuity of staffing so that support and maintenance of relationships were promoted. The person in charge informed the inspector that agency or relief staff well known to residents were used if required.
premises were not suitable to meet residents' needs. The old hospital style ward type accommodation was not adequate. The unsuitability of the premises was particularly evident in the larger ward style multi-occupancy bedrooms, also in the inadequate communal sitting/dining rooms and inadequate shower or toilet facilities noted in a number of these wards. The effect of these failings meant that the centre as currently designed was not able to adequately achieve the aims of the service as outlined in the statement of purpose. The inspectors found that the environment impacted on the quality of life of residents. For example, there was very limited personal space for residents to spend time or store their individual personal possessions. Residents' choice was reduced and their privacy and
Residents were complimentary about the care they received and felt happy and safe in the centre. Residents spoke positively about staff and were also complementary of the quality of the food and food choices. Most residents said that they were happy with the centre. However, some residents said that they would like more space to store their personal possessions in the multi-occupancy bedrooms. The inspector noted that there was one recent written complaint in relation to the unsuitability of the multi-occupancy bedrooms. Residents spoke about their local connection to the centre and the sense of belonging within the local community. Residents expressed the importance of the service in the context of convalescing and respite as hugely important in maintaining their independence and relieving carers at home. Residents informed the inspector that staff treated them with respect and dignity at all times. Residents described staff as very kind, caring and responsive to their needs. Residents confirmed that they would have no hesitation in speaking to staff if they had a concern. Residents said staff kept them informed and up to date about any changes to their health and social care needs. All residents spoken to clearly identified staff as being very supportive and caring and residents expressed satisfaction with the overall service provided and in particular, the meals and activities available in the centre. Residents outlined how they always had a choice of the type, quantity and times when food, snacks and drinks were made available. Residents spoke about how they were able to exercise choice regarding all aspects of living in the centre. For example, residents explained how they had
Bandon CommunityHospital, established in 1929, is a single-storey building which had been extensively renovated. The designated centre is a Health Service Executive (HSE) establishment. It now consists of accommodation for 25 older adults set out in 21 single en-suite bedrooms and two double en-suite bedrooms. The centre provides long-term, respite and palliative care for local residents. There is an effective
The person in charge was the interim director of nursing who took up the post of person in charge in February 2018. She worked full time and had the relevant experience and qualifications for the position of person in charge. She was involved in the governance, operational management and administration of the centre. The assistant director of nursing was newly appointed and was in the process of submitting the appropriate documentation to the HIQA. The inspector observed that residents were familiar with the person in charge, deputy person in charge and clinical nurse managers and conversed freely with them.
The following information has been submitted by the registered provider and reflects a description of the service as set out in the statement of purpose. The service at St Ita's CommunityHospital is provided by the Health and Safety Executive (HSE) and the centre is located in Newcastle-West, Co. Limerick. The centre is registered for an operational capacity of 78 residents, providing respite and palliative care as well as continuing care for long-stay residents. At the time of inspection there were 70 residents registered in the designated centre. Nursing care is provided mainly for older people over 65 years of age with needs in relation to age related and