At the time of the last inspection nursing staff were not providing care in accordance with contemporary evidence-based practice, particularly with regard to care planning. This had been addressed. All nurses have attended training in care planning. The Person in Charge and her deputy are in the process of reviewing all care files. The Inspector reviewed two of the reviewed files and found that there were appropriate care plans in place to guide and inform staff in the delivery of safe person centred care to the
Each residents wellbeing and welfare is maintained by a high standard of evidence- based nursing care and appropriate medical and allied health care. Each resident has opportunities to participate in meaningful activities, appropriate to his or her interests and preferences. The arrangements to meet each residents assessed needs are set out in an individual care plan, that reflect his/her needs, interests and capacities, are drawn up with the involvement of the resident and reflect his/her changing needs and
Inspectors found that the person in charge had a good rapport with residents and staff working in the centre. Residents spoken with knew the person in charge and felt they could approach her or any of the staff if they had any concern. During the inspection she demonstrated that she had knowledge of the Regulations and Standards pertaining to designated centres. She is supported in her role by nursing, care, administration and ancillary staff. Staff were familiar with the organisational structure and confirmed that good communications exist within the staff team. Recent training attended by the person in charge included infection prevention and control, special purpose award in gerontology, end of life care, medication management, and general principles of wound management.
The inspector found that each resident’s wellbeing and welfare was promoted by a high standard of nursing care and that appropriate access to medical and allied healthcare services was available when required. There were suitable arrangements in place to meet the health and nursing needs of residents with dementia. Pre-admission assessments were undertaken to ensure that the service could meet the needs of individual residents. Prospective residents and their families were invited to visit the centre prior to deciding to live there and some residents had been admitted for periods of respite care and were familiar with the environment which families said was of benefit when it came to exploring long term care options. There were social opportunities
Winter roosts Condition No decline Lough Cutra SAC has been selected for lesser horseshoe bat because of the presence of one internationally important winter roost (roost id. 228 in NPWS database). Damage or disturbance to the roost or to the habitat immediately surrounding it will lead to a decline in its condition (Mitchell-Jones et al., 2007)
Hydrological regime is sub-divided into more detailed attributes (groundwater contribution, flood duration, frequency, area and depth, and permanently flooded/wet areas) and targets in O Connor (2017). Drew and Burke (1996) described Lough Funshinagh as 'an intermittent turlough', becoming 'nearly' dry every 3-4 years and completely dry (with the exception of a few pools) at longer intervals. It emptied in 1984 and 1996; the cause was unclear, but was not through collapse of plugged material in swallow holes (Drew and Burke, 1996). The basin is flat, shallow (maximum depth is 2m), has 2 inflowing streams, no surface outflow and an enlarged sinkhole in the south-eastern corner (Drew and Burke, 1996). Tracing demonstrated a
Alkaline fen has not been mapped in detail for Lough Ennell SAC and thus the total area of the qualifying habitat in the SAC is unknown. The habitat occurs in scattered areas around the shores of Lough Ennell and grades into reed swamp, freshwater marsh and wet woodland in places. It is best developed particularly at Robinstown, Derries, on the eastern side of the lake, and at the inlets and outlets of the River Brosna (NPWS internal files)
The full distribution and characteristics of lake habitat 3130 in Lough Corrib SAC have not been mapped. While the characteristic species slender naiad (Najas flexilis) was recorded in the western arm of Lough Corrib, that area appears to be dominated by lake habitat 3110, with lake habitat 3130 found towards the northern basin proper. The division between lake habitats 3130 and 3140 may be difficult to determine, and both habitats may occur throughout the lake. Habitat 3130 is thought likely to dominate Ballycuirke Lake. Two measures of extent should be used: 1. the area of the lake itself; 2. the extent of the vegetation communities/zones that typify the habitat. For additional information see Krause and King (1994). Further information on this and all other attributes is contained in the lake habitats supporting document for the purposes of site-specific conservation objectives and Article 17 reporting (O Connor, 2015) and the Najas flexilis supporting document
Based on data from Martin et al. (2017) where the list of negative indicator species for the habitat is also presented. Negative indicators include species indicative of changes in nutrient status and species not considered characteristic of the habitat. The negative indicator species perennial rye-grass (Lolium perenne), common ragwort (Senecio jacobaea) and common nettle (Urtica dioica) were recorded as being occasional within the habitat in the Farranamanagh Lough sub-site during the VSM. See the coastal habitats supporting document for further details
Transition mires and quaking bogs has not been mapped in detail for Lough Owel SAC and thus the total area of the qualifying habitat in the SAC is unknown. The habitat dominates two main areas of wetland vegetation in the SAC, at the north-west (Bunbrosna) and the south-west (Tullaghan) ends of Lough Owel. These areas comprise a mosaic of different vegetation types of varying degrees of wetness with the transition mire and quaking bog vegetation grading into alkaline fen (7230), wet grassland and wet woodland (NPWS internal files) Habitat
Little is known about the characteristics or ecology of this habitat in Ireland. It is associated with base- rich lakes, with circumneutral or higher pH, in low- lying, large, naturally more productive catchments and is characterised by high abundance and diversity of pondweeds (Potamogeton spp.) and mesotrophic values for total phosphorus and chlorophyll. It is considered to occur in Lough Ree and the closely connected Killinure and Coosan Loughs and Ballaghkeeran Bay (See map 3) as well as other Shannon lakes. Two measures of extent should be used: 1. the area of the lake itself and; 2. the extent of the vegetation communities/zones that typify the habitat. Further information relating to all attributes is provided in the lake habitats supporting document for the purposes of site-specific
During conversations with the inspector residents confirmed that they were well looked after and they felt safe. They attributed this to the support and care provided by the staff team. Residents spoken with stated ”I would prefer to be able to live at home but here is the next best thing”, “the food is very good, I always enjoy my dinner”, “I am well looked after and the staff always have time for a chat with me”. Access to the centre was secured with a coded key pad.
Calcareous fens with Cladium mariscus and species of the Caricion davallianae* has not been mapped in detail for Mocorha Lough SAC and thus the total current area of the priority qualifying habitat in the SAC is unknown. The SAC supports a good example of Cladium fen in a calcareous lake basin which is considered one of the largest stands in the west of Ireland. It occurs in association with common reed (Phragmites australis) swamp, black bog-rush (Schoenus nigricans) dominated fen and other wetland vegetation. Wet grassland, which floods at times, is found adjacent to the wetland habitats. The lake basin is mostly overgrown with the swamp and fen vegetation, with very little open water remaining (Goodwillie, 1979; NPWS internal files)
Transparency relates to light penetration and, hence, to the depth of colonisation of vegetation. It can be affected by phytoplankton blooms, water colour and turbidity. A target of >6m has been set for hard water lakes (3140) (Roden and Murphy, 2012). The OECD fixed boundary system set WUDQVSDUHQF\WDUJHWVIRUROLJRWURSKLFODNHVRIP DQQXDOPHDQ6HFFKLGLVNGHSWKDQGPDQQXDO minimum Secchi disk depth. Hard water lakes typically have high transparency, particularly in the very clear and typical marl forms (Roden and Murphy, 2012). Secchi depth at Lough Rea was 5.2m in 2012 and 4m, in low water levels, in 2018 (Roden and Murphy, 2012, 2018). Free et al. (2006) recorded a Secchi depth of 4.5m (clear to lake bed) in Lough Rea
The hard water lake habitat (3140) is associated with a range of base-rich substratum types, from marl and limestone bedrock, through rocks, cobbles, gravel, muds and even peat. Further research into substratum quality (notably calcium, iron and nutrient concentrations) in the hard water lake habitat would be beneficial. The exposed eastern shore of Errit Lough is stony/rocky, while much of the lake has sandy marl (Heuff, 1984). Roden and Murphy (in prep.) also recorded peat
Residents had care plans for nutrition, hydration and difficulty with swallow reflex in place. Each need had a corresponding care plan which detailed the nursing care, medications/food supplements prescribed; specific care recommendations from visiting inter disciplinary team members and the GP instructions. Nutritional screening was carried out using an evidence-based screening tool at a minimum of three-monthly intervals. There was evidence of referral to allied services and reviews by the dietician, occupational therapist and the speech and language therapist. Care plans were revised to reflect updates following reviews by allied health specialists.
The fauna is less well researched, but the recent discovery of an aquatic beetle Ochthebius nilssoni (O’Callaghan et al., 2009), which appears to be associated with the crust, shows that a distinctive invertebrate fauna may occur. This species was discovered in Lough Carra in 2011 (Nelson and O’Connor pers. com.). The Crayfish Austropamobius pallipes is abundant in some lakes, such as Lough Owel and Lough Carra. Equally, as these lakes were never linked to continental rivers, the fish fauna is derived from anadromous ancestors and a range of salmonid species occur (or used to occur) (Reynolds, 1998). Many of these taxa have a northern distribution and Irish marl lakes could be seen, like raised bogs, as one of the few Irish habitats that extend in time back to the early post glacial. To summarise, the marl lake or hard-water habitat has a most unusual flora, vegetation and fauna, which is very restricted in Europe as a whole, and Ireland contains a large proportion of the total European habitat.