Top PDF Kilbrew Recuperation and Nursing Care, Curragha, Ashbourne, Meath

Kilbrew Recuperation and Nursing Care, Curragha, Ashbourne, Meath

Kilbrew Recuperation and Nursing Care, Curragha, Ashbourne, Meath

Universal Screening Tool' (MUST), details of the assessment procedure including a template of the tool was not included in this advisory document Residents were screened for nutritional risk using the MUST assessment process on admission and reviewed regularly thereafter. Residents' weights were checked routinely on a monthly basis and more frequently where residents experienced unintentional weight loss. Nutritional assessment and care plans were in place that outlined the recommendations of dietician and speech and language therapists where appropriate. Systems were in place for recording and monitoring residents' nutritional and fluid intake where required. Inspectors saw that residents had a choice of hot meals for lunch and tea. While there were arrangements in place for communication between nursing and catering staff to support residents with special dietary requirements, some improvement was needed to ensure copies of the original recommendation sheets were consistently provided to the chef. Inspectors found that residents on weight-reducing, diabetic and fortified diets, and residents who required modified consistency diets and thickened fluids, received the correct diets. Although staff supported residents requiring assistance, not all residents received assistance in a timely manner in one dining room and were observed to be waiting for assistance with their meal and with leaving the dining room. This finding is discussed in outcome 5.
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Kilbrew Recuperation and Nursing Care, Curragha, Ashbourne, Meath

Kilbrew Recuperation and Nursing Care, Curragha, Ashbourne, Meath

orthopaedics and physiotherapy post fall. There was a discharge letter on file in addition to guidance from the occupational therapy. This resident also had an up-to-date falls assessment; falls care plan and a mobility care plan. The inspectors saw there were suitable controls in their bedroom which were in line with those detailed in the care plan such as a sensor mat. The inspectors were assured that the clinical care and support given to residents, at risk of falls in this instant, was appropriate and suitably executed and documented.

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Kilbrew Recuperation and Nursing Care, Curragha, Ashbourne, Meath

Kilbrew Recuperation and Nursing Care, Curragha, Ashbourne, Meath

Where necessary the inspector saw that referrals had been made to the dietician and plans of care put in place such as an increase in protein to promote tissue granulation. Tissue Viability Nurses were also sourced when required which for the most part were sourced through the general practitioner. The general practitioner also reviewed

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Kilbrew Recuperation and Nursing Care, Curragha, Ashbourne, Meath

Kilbrew Recuperation and Nursing Care, Curragha, Ashbourne, Meath

person in charge was a qualified nurse with postgraduate qualification in healthcare management and gerontology. Her post at the centre was full-time and she was assisted by an assistant director of nursing in addition to a team of nurses, healthcare assistants and ancillary staff members. She facilitated the inspection well and demonstrated her knowledge of the Regulations and the Standards in addition to her responsibilities in implementing these throughout the day for example good care planning and record management.

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Kilbrew Recuperation and Nursing Care, Kilbrew Demense, Curragha, Ashbourne, Meath

Kilbrew Recuperation and Nursing Care, Kilbrew Demense, Curragha, Ashbourne, Meath

Arrangements were in place to meet residents' assessed healthcare needs. Residents' care needs were assessed on admission and regularly reviewed thereafter by use of validated risk assessment tools. This information informed care plans that described the care interventions to be delivered to meet each resident’s identified needs. The care plans indicated that care provided to residents was person-centred and met their needs. Arrangements were in place to ensure care plans were reviewed on a three-to-four month basis, or more often in response to their changing needs. Residents were reviewed by a physiotherapist following a fall incident and residents who sustained an injury to their head during a fall had neurological observations completed. There was evidence that residents' care was discussed with them or their relatives where
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Kilbrew Recuperation and Nursing Care, OSV 0000143, 27 March 2018

Kilbrew Recuperation and Nursing Care, OSV 0000143, 27 March 2018

Kilbrew Recuperation and Nursing Care is a purpose-built premises. Residents are accommodated in single and twin bedrooms, each with en-suite shower, toilet and wash basin facilities. A variety of communal rooms are provided for residents' use, including sitting, dining and recreational facilities. The centre is located close to Ashbourne town on a large mature site, at the end of a short avenue in from the road. Together with gardens surrounding the centre, there are also two enclosed, themed gardens within the centre premises. The centre provides accommodation for a maximum of 74 male and female residents, over 18 years of age. Residents are admitted on a long-term residential, respite and convalescence care basis. The service provides care to residents with conditions that affect their physical and psychological function. Each resident's dependency needs are regularly assessed to ensure their care needs are met. The provider employs a staff team consisting of registered nurses, care assistants, maintenance, housekeeping and catering staff.
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Knightsbridge Nursing Home, Longwood Road, Trim, Meath

Knightsbridge Nursing Home, Longwood Road, Trim, Meath

Inspectors reviewed the management of clinical issues such as wound care and falls management and found they were well managed and guided by robust policies. Extensive work had been undertaken on falls prevention and management including audits to ensure compliance with the policy. In addition each fall was analysed to identify any possible patterns or trends. The location of falls was also plotted on a floor map to review the exact location of the falls and identify any potential environmental hazards. Inspectors saw that an area outside the nurses' station had been identified as a risk area. Additional handrails were put in and inspectors saw that no falls had occured in this area since.
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Sancta Maria Nursing Home, Parke, Kinnegad, Meath

Sancta Maria Nursing Home, Parke, Kinnegad, Meath

hydration, unsatisfactory complaints management, insufficient staffing to supervise residents in communal rooms and loss of personal clothing. While the majority of issues raised were not substantiated on this inspection, findings indicated that improvements were required in supervision of residents in one communal room and documentation of residents care needs and hydration requirements of residents at risk of dehydration. The areas for improvement are addressed in the action plan with this report. Progress with completion of the actions in the action plan from the last inspection were also followed up. Seven of the nine actions required were completed. The remaining two incomplete actions were being progressed.
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Sancta Maria Nursing Home, Parke, Kinnegad, Meath

Sancta Maria Nursing Home, Parke, Kinnegad, Meath

This inspection report sets out the findings of a thematic inspection which focused on two specific outcomes, End of Life Care and Food and Nutrition. In preparation for this thematic inspection providers were invited to attend an information seminar, received evidence-based guidance and undertook a self-assessment in relation to both outcomes. The inspector reviewed policies and analysed surveys which relatives submitted to the Health Information and Quality Authority prior to the inspection. During the inspections residents and staff were met with in addition to the inspector observing practices and the serving of two meals breakfast and lunch. Documents were also reviewed on the day, including but not limited to, training records, internal audits and care plans.
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Sancta Maria Nursing Home, Parke, Kinnegad, Meath

Sancta Maria Nursing Home, Parke, Kinnegad, Meath

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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Sancta Maria Nursing Home, Parke, Kinnegad, Meath

Sancta Maria Nursing Home, Parke, Kinnegad, Meath

behaviours and psychological symptoms of dementia (BPSD). A number of staff had completed dementia training that included management of responsive behaviours since the last inspection in 2015. A two-day staff training programme in dementia care was under way for 2016. Staff were knowledgeable regarding their responsibility to support residents with responsive behaviours. The inspector observed staff to be kind and respectful towards residents in all of their interactions during this inspection. Residents with symptoms involving responsive behaviours were well cared for and had behavioural support care plans in place. Staff were aware of the triggers and the most effective person-centred interventions to de-escalate any incidents of responsive behaviours. However, improvement was required in the information documented in residents' behavioural support plans regarding effective de-escalation interventions to ensure a consistent approach was communicated. This finding is actioned in outcome 11. A restraint register was maintained. Bedrails were observed to be in use for a low number of residents at night and their use reflected national restraint guidelines. No residents were administered p.r.n. psychotropic medications on this inspection.
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Sancta Maria Nursing Home, Parke, Kinnegad, Meath

Sancta Maria Nursing Home, Parke, Kinnegad, Meath

Since the centre's last inspection in October 2016, systems were improved to optimise communications between residents and residents' families. There were arrangements in place for communication regarding residents between the acute hospital and the centre. The person in charge or her deputy visited prospective residents in hospital or their home in the community prior to admission. Inspectors were told that a number of residents admitted on a respite basis transitioned to continuing care in the centre. Prospective residents and their families were welcomed into the centre to view the facilities and discuss the services provided before making a decision to live in the centre. This gave residents and their families information about the centre and also ensured them that the service could adequately meet their needs.
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Millbury Nursing Home, Common's Road, Navan, Meath

Millbury Nursing Home, Common's Road, Navan, Meath

This inspection report sets out the findings of a thematic inspection which focused on two specific outcomes, End of Life Care and Food and Nutrition. In preparation for this thematic inspection providers were invited to attend an information seminar, received evidence-based guidance and undertook a self-assessment in relation to both outcomes. The inspector reviewed policies and analysed surveys which relatives submitted to the Health Information and Quality Authority prior to the inspection. During the inspections residents and staff were met with in addition to the inspector observing practices and the serving of two meals breakfast and lunch. Documents were also reviewed on the day, including but not limited to, training records, internal audits and care plans.
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Knightsbridge Nursing Home, Longwood Road, Trim, Meath

Knightsbridge Nursing Home, Longwood Road, Trim, Meath

An activity coordinator on each floor facilitated activities for residents with the support of care staff. Group activities provided were varied and tailored to meet the interests and capabilities of residents with dementia. Residents with one-to-one needs were also provided with activities to meet their interests and capabilities. A recent one-to-one initiative implemented to meet the needs of residents who became unsettled in the evening had positive outcomes for them. While inspectors observed that residents participated in and enjoyed the group activities, there was room for improvement in order to maximise opportunities for all residents to participate in activities in accordance with their interests and capacities. Consideration should be given to the numbers who participate in group activities and the availability of staff to support the facilitator to help less- able residents to participate in an activity. One inspector observed an activity coordinator facilitate an activity for a group of 20 residents. The room was too small to comfortably accommodate the group and there was no other staff member present to deal with issues as they arose or to attend to residents who might require additional assistance. The activity was interrupted when the facilitator had to assist a person who came into the room while the activity was in progress. Inspectors found that
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Millbury Nursing Home, Common's Road, Navan, Meath

Millbury Nursing Home, Common's Road, Navan, Meath

The centre had a falls management policy which was relevant, clear and known to staff. The practices and procedures outlined within the policy ensured resident’s safety was maintained and the inspector found these procedures were implemented in practice. For example the policy stated that post fall a resident should be reassessed. The inspector saw this reflected in resident’s care planning and assessments. The inspector found that additional control measures where necessary were also identified and implemented. The inspector observed the use of censored mats , crash mats and low low beds where applicable. Care staff spoken with by the inspector were informed of the procedure should a resident fall, all care staff spoken with stated they would not move the resident, that they would make them comfortable and use the emergency call bell to alert the nurse on duty. The inspector found that incident/accident forms were
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Praxis Care 1 (Navan), Meath

Praxis Care 1 (Navan), Meath

A key worker was assigned to each resident whose role was to support residents in identifying person centred goals and to maintain their personal plans and review and update them as required. There was a of evidence that each resident had received an inclusive personal centred planning meeting and ongoing review of how to achieve goals identified. Despite residents complex needs or healthcare conditions they had a good standard of social care in relation to community participation and achievement of specific goals and targets.

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Millbury Nursing Home, Common's Road, Navan, Meath

Millbury Nursing Home, Common's Road, Navan, Meath

There were arrangements in place to manage and monitor wounds. The inspectors, in particular, examined the care plans of 2 residents with wounds. The nursing team were aware that wound prevention and treatment was multi-factorial and the inspectors saw specific person-centred care plans and regular reviews. Wound assessment charts were in place and provided a clinical picture for comparative purposes to monitor whether the wound was progressing or regressing. A noted improvement was evident for both

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Knightsbridge Nursing Home, Longwood Road, Trim, Meath

Knightsbridge Nursing Home, Longwood Road, Trim, Meath

Overall, inspectors found that the person in charge ensured that residents' medical and nursing needs were met to a good standard. Residents looked well cared for, engaged readily with the inspectors and provided positive feedback on the staff, care and services provided. The inspectors found evidence of good practice in a range of areas. Staff interacted with residents in a respectful, warm and friendly manner and demonstrated a thorough knowledge of residents’ needs, likes, dislikes and

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Boyne Valley Nursing Home, Dowth, Drogheda, Meath

Boyne Valley Nursing Home, Dowth, Drogheda, Meath

The inspectors found that arrangements were in place to ensure residents received dignified and respectful care throughout the day of inspection. Staff were observed to knock before entering residents’ bedrooms and to maintain their privacy during personal care procedures by closing doors and bed screen curtains in twin rooms. Staff engaged with residents in a respectful and patient way during encounters with them. Residents were facilitated and encouraged to exercise personal choices and autonomy supported by many examples observed by inspector during the day of the inspections including choice of food, time of dining and time of getting up and going to bed.
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Boyne Valley Nursing Home, Dowth, Drogheda, Meath

Boyne Valley Nursing Home, Dowth, Drogheda, Meath

Residents had access to a GP of their choice and to allied health professionals as required and referrals with follow-up consultations were evidenced for physiotherapy, occupational therapy, optical and dental care. Findings on the last inspection of the centre supported improvement requirements in access by residents with compromised swallowing reflexes to speech and language therapy assessment services. This specialist assessment service is now available to residents in the centre.

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