Management structures in the LakeHouse. Changes have been implemented to allow for immediate and continual improvement. The introduction of a new IT system called Xyea has been installed to identify risks, log risks, risk management. This will allow audits to be carried out to provide management with key performance indicators on risk
Residents had access to good quality nursing care, a range of evidence based practice assessments, and interventions as they required it. There was access to a physiotherapist, a dietician and other specialists if required. Care plans reviewed had been updated and included details of the residents change in condition and their preferences, including their preferences for recreation and their preferred waking up times. The level of detail was good and could guide staff to engage well with
They expressed satisfaction with the level of independence they had while living in a nursinghome. A number said they liked the fact that although they lived in the safe environment they could still come and go as they wished once they informed staff. Residents said staff were plentiful and always available when needed. They
improvement programme to address any deficiencies. There was a comprehensive audit schedule in place. Audits were found to be meaningful, informative and used to bring about improvements to the service provided. Regular audits and reviews were carried out in relation to incidents, falls, medication management, restraint, wounds, risk management, infection control, food safety, staffing, complaints and food and nutrition. There was a comprehensive, detailed review completed on the quality and safety of care in the centre for 2017 and a detailed improvement plan in place for 2018. Feedback from residents committee meetings and resident satisfaction surveys were also used to inform the review of the safety and quality of care delivered to residents to ensure that they could improve the provision of
accepted from people living in the sheltered accommodation apartments in Brabazon Court and Strand Road, although direct admissions to the centre are accepted, in exceptional circumstances, subject to bed availability. The building is an original Edwardian House (circa 1902) that has been extended and refurbished while retaining some of it's older features. It is located in a quiet road just off the Strand Road close to the strand and Dublin Bay. Local amenities include nearby shopping centres, restaurants, libraries and parks and also the strand. Accommodation for residents is across two floors. The centre contains 40 single bedrooms of which 34 have en suite facilities. There are also three twin and two three bedded
appropriate care and services in line with the statement of purpose. The provider had recruited a number of nursing and care staff to meet the increase in bed numbers. These staff had been in post since January 2018 and had completed induction training. Nursing staff were mentored by the assistant director of nursing. The centre had comprehensive quality management processes in place to monitor the safety and quality of care and services. Where improvements were identified these were communicated to the relevant staff and an appropriate action plan implemented.
Castleturvin NursingHome is registered to provide care for 42 residents. It is purpose built and located in a rural setting a short drive from the town of Athenry. The building was laid out over two storeys with lift access provided to the first floor. Accommodation is provided in 22 single and 10 double rooms all of which have ensuite facilities. There are communal areas on both floors. Externally there are extensive grounds with a large garden area that is accessible to residents. Many rooms have doors that lead directly onto the garden.Residents that have high, medium or low care needs are accommodated and care is provided on a long or short term basis.
Elmgrove NursingHome provides accommodation for a maximum of 24 male and female residents, over 18 years of age. Residents are admitted on a long-term residential, respite and convalescence care basis. The centre is located on a mature site, at the end of a short avenue and within walking distance from Birr town centre. The premises is a listed period building. Residents' accommodation consists of 24 single bedrooms, located over three split floor levels. Shared toilets and washing facilities are available on each floor. The upper floors are accessible by stairs and stair lifts. A variety of communal rooms are provided for residents' use, including sitting, dining and recreational facilities. 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, activity,
Many expressed that while they would rather be at home, they knew that they needed to receive care and be in safer place, so they moved to Rosemount House. As many were from the locality they commented that they had visitors and remained connected with the town and area that they were familiar with. Some went out regularly to carry out errands, while others said they would like to go out more. Many spoke of their engagement in the activity programme, and singled out the tai chi group that was running on inspection day as important to them, others
A good quality service was being provided to the residents. There were sufficient numbers of staff who had completed relevant training to ensure they had the necessary skills to provide a caring service. Residents knew how to raise any issues about the quality of care, and clear governance and management arrangements ensured all feedback was taken seriously and responded to within agreed time lines. The staff team was made up of the person in charge, CNMs, nursing staff and
provider/person in charge agreed that residents would greatly benefit if the post of activities coordinator was full-time and this was assured for 7th August 2018. On-going professional training was encouraged and facilitated, for example, three members of staff were near completion of their leadership course; the activities person had applied to do two courses relating to dementia-specific activation. Dementia training was scheduled for 24th July 2018; infection prevention and control including hand
The nursinghome had a low turnover of staff and operates a recruitment policy and selection process for prospective employees and work experience students, which is aimed at ensuring that staff are suitable to care and support residents. This includes the completion of Garda Vetting which was seen completed in a sample of the staff files examined. The provider representative and person in charge told inspectors that all staff had a disclosure of Garda Vetting. Staff recruitment and
Corbally HouseNursingHome is registered to provide care to 41 residents. It is located on the outskirts of Limerick city in a residential area on the banks of the river Shannon. Private accommodation comprises of 35 single bedrooms and three twin bedrooms, 20 of which have en suite shower, toilet and wash-hand basin facilities provided. Resident accommodation is over two floors with the majority of the residents residing on the ground floor. Stairs and a chair lift provide access between floors.
There were a small number of residents who were assessed as requiring the use of bed rails in the centre. There was a clear policy on the use restrictive practices. The policy, practice and assessment forms reviewed reflected practice that was in line with national policy, as outlined in 'Towards a Restraint Free Environment in Nursing Homes' (2011). Alternatives to the use of any bedrails were documented in the resident's records. The provider was no involved in administering pensions or acting as a pension agent. A small number of residents had supports in place with storage of some items of personal property. The governance and oversight on this was found to be satisfactory and
The social care needs of residents were met to a good standard. There were two activity coordinators employed in the centre and there was a programme of activities that was tailored to the needs of residents. The programme of activities included group activities and also one-to-one activities, such as hand massage. Integration into the local community was promoted and some residents attended an afternoon dance that was held in the local community centre monthly from May through to September. Residents were also supported to attend concerts in Killarney, the pantomime at Christmas and local amenities and parks.
dependency to maximum dependency and provides long-term residential and nursing care, convalescent care and respite services. The new premises is purpose built over three levels. Accommodation consists of single and twin bedrooms, all of which have accessible en-suite facilities. Each floor has a communal lounge and dining room. There is a large reception area, activities room, a sensory (quiet) room,
On admission a range of validated assessment tools were used to assess each resident’s abilities and needs. Areas assessed included the risk of pressure areas, risk of falls, risk of malnutrition, mood and cognitive ability. A small number of nursing assessments reviewed in the sample required updating. Overall the care plans clearly identified how the resident’s care needs were to be met. Overall the inspector saw improvements in all records relating to assessments in relation to activities of living, personal and social care, preferences and previous routines were determined to inform interventions and care planning. The involvement of family and previous care providers were central to the assessment and care planning process delivered. Care plans were reviewed at least every four months, and a range of nursing tools were used to assess if changes in abilities or needs occurred. Care plans were seen to reflect resident's individual
The action with regard to drill practices had been partially addressed. At the previous inspection, inspectors found that drill practices required improvement, particularly from the top floor of the main house. The Provider representative had been proactive in this regard by implementing a programme of drills, which were being conducted on a regular basis, simulating night time scenarios where staffing levels are lowest. The records demonstrated that simulated evacuations were timely, the latest of which showed evacuation from the top floor of the main house in two minutes and fifty seconds. However, one bedroom at ground floor level had not formed part of a drill. This room had residents with limited mobility. When spoken with, the Provider representative and Person in Charge were confident in the method of evacuating this area and were consistent in how they described the evacuation procedure to inspectors. The Provider representative confirmed to inspectors they would carry out a simulated drill of this area.