Top PDF Millhouse Care Centre, OSV 0000252, 6 February 2018

Millhouse Care Centre, OSV 0000252, 6 February 2018

Millhouse Care Centre, OSV 0000252, 6 February 2018

Volunteers worked in the centre and added to the residents' quality of life. They provided very valuable social activities and services which the residents said they thoroughly enjoyed and appreciated. The inspector saw that all had been vetted appropriate to their role and their roles, and responsibilities were set out in a written agreement as required by the regulations.

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St Francis Nursing Home, OSV 0000168, 6 February 2018

St Francis Nursing Home, OSV 0000168, 6 February 2018

St Francis Nursing Home is a purpose built nursing home which accommodates a maximum of 25 female residents over the age of 65 years. The centre cares for their religious Sisters and also female residents from the community. The Nursing Home provides 24 hour nursing and residential care to those with medium, high and maximum dependencies. The centre is situated on extensive grounds, 3.2 km North of Dundalk. On the same site as the Mount Oliver Convent the centre has a separate entrance. The accommodation is laid out along two corridors; La Verna and Kevina. All bedrooms are single and have ensuite facilities. There are multiple rooms
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Camphill Ballymoney, OSV 0003633, 6 February 2018

Camphill Ballymoney, OSV 0003633, 6 February 2018

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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SignaCare New Ross, OSV 0000252, 30 October 2018

SignaCare New Ross, OSV 0000252, 30 October 2018

This centre is a purpose-built facility which can accommodate a maximum of 62 residents. It is a mixed gender facility catering for dependent persons aged 18 years and over, providing long-term residential care, respite, convalescence, dementia and palliative care. Care for persons with learning, physical and psychological needs can also be met within the centre. Care is provided for people with a range of needs: low, medium, high and maximum dependency. This centre is situated on the outskirts of a town.

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SignaCare New Ross, OSV 0000252, 25 February 2019

SignaCare New Ross, OSV 0000252, 25 February 2019

This centre is a purpose-built facility which can accommodate a maximum of 62 residents. It is a mixed gender facility catering for dependent persons aged 18 years and over, providing long-term residential care, respite, convalescence, dementia and palliative care. Care for persons with learning, physical and psychological needs can also be met within the centre. Care is provided for people with a range of needs: low, medium, high and maximum dependency.

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Maynooth Community Care Unit, OSV 0000516, 5 February 2018

Maynooth Community Care Unit, OSV 0000516, 5 February 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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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

The inspector found that while some improvement had taken place, some actions required from previous inspections around the use of restraint had not been addressed. The inspector reviewed the care plans of residents who were using bedrails and lap belts and found that details of the use and type of restraint were included. The care plans reviewed now outlined how often safety checks should be completed when bedrails were in use, an action required from the previous inspection. However there was still limited documented evidence that these safety checks were being completed in line with national guidelines. A detailed policy was in place but was not implemented by staff. It is acknowledged that overall usage of restraint was low and additional equipment such as low beds had been purchased to reduce the need.
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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

interventions were recorded in their care plans. However, inspectors found that in one case, no care plan was in place to guide care practices. No triggers were identified and no interventions strategies were listed. Staff who spoke with inspectors gave conflicting management strategies to what was observed. For example, one staff member told inspectors that the resident did not like the noise in the dining room and preferred to eat in the bedroom or away from the other residents. Inspectors saw that this resident was brought into the dining room at both dinner and tea time.
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Marymount Care Centre, OSV 0000065, 3 August 2018

Marymount Care Centre, OSV 0000065, 3 August 2018

The inspector also had an opportunity to speak with a small number of relatives who were very happy with the service delivered to their loved ones. The relatives said that they felt the residents were safe in the centre and that staff worked hard to give good care in a friendly and respectful manner. They said that they found the atmosphere in the centre to be very warm and welcoming and that staff engaged with residents in a meaningful way to ensure they were stimulated throughout the day and not left alone or isolated.

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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

inspection and the second person to assist with activities was also on extended leave. There did not appear to be an adequate system in place to ensure residents engaged in activities while activity co-ordinators were not working. The inspector was unable to confirm if the activities were more meaningful when the activity coordinator was on duty although several residents said they would like something else to do during the day. This was discussed at the feedback meeting and the inspector saw that this aspect of care was under review by the management group.

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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

The inspector found that there was inadequate screening in shared rooms to facilitate residents to undertake personal activities in private. Screening was available but it did not sufficiently enclose both beds. This was discussed with the person in charge. There was limited evidence that feedback was sought from residents with dementia or that they were consulted regarding the organisation of the centre. Residents' meetings were held on a regular basis and minutes were maintained. However there was no evidence to suggest that residents with dementia were included in this or that additional measures were undertaken to ensure that these residents had a say in the organisation of the centre. The inspector did note that the person in charge had carried out a
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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

The inspector reviewed a sample of residents’ care plans and found that relevant risk assessments, such as skin integrity, continence, falls and nutrition were routinely carried out. Residents had care plans in place for their identified needs however there was inconsistent evidence of resident or next of kin involvement in the care planning process.

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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

place dated 27 June 2014 which included guidance on the management of restraint. The policy provided clear advice on the use of restrictive procedures with emphasis on the use of the least restrictive interventions for the shortest period possible. Staff had received appropriate training in the use of restraint and the use of positive behaviour support plans were in place for managing challenging behaviour. Where restrictive procedures were in use inspectors saw good evidence that appropriate assessments and care planning were in place. There was documented evidence of regular monitoring and review with consents recorded and signed where possible. Inspectors also noted that where restraint was utilised, other methods of managing the behaviour had been considered.
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St Josephs Care Centre, OSV 0000466, 10 January 2018

St Josephs Care Centre, OSV 0000466, 10 January 2018

The inspectors reviewed the management of clinical issues such as falls prevention, wound care and diabetes and found they were well managed and were guided by robust policies. Areas for improvement were identified in the prevention of pressure sores. Inspectors noted that some pressure relieving mattresses were set above recommended parameters and did not provide optimal pressure relief. Care plans did not state the frequently residents assessed as being at increased risk should have their position changed and there were gaps in the turning charts reviewed. Residents with diabetes were appropriately managed and had access to specialist diabetic services. However they were not provided with individual glucose monitors in line with best practice. There were systems in place to ensure residents' nutritional needs were met and that they did not experience poor hydration. The inspectors saw specific information relating to residents likes and dislikes was recorded in the care plans. Residents were screened for nutritional risk on admission and reviewed regularly thereafter. Residents' weights were checked on a three monthly basis or more frequently when indicated. Nutritional care plans were in place that detailed residents' individual food preferences. While recommendations made by dieticians and speech and language therapists were implemented in practice, they were not recorded in sufficient detail in residents' care plans. When required, nutritional and fluid intake records were appropriately
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Skibbereen Residential Care Centre, OSV 0000280, 23 August 2018

Skibbereen Residential Care Centre, OSV 0000280, 23 August 2018

conditions, such as dementia. The premises are a single-storey building completed in 2004 and located on the outskirts of Skibbereen town in county Cork. The centre is purpose built and contemporary in design with accommodation and facilities in keeping with those set out in the statement of purpose. The centre is registered to provide accommodation for up to 50 residents, comprising 34 single and 8 twin- bedded rooms - all equipped with en-suite facilities, personal storage and furniture as required. Facilities include communal indoor recreation areas for residents as well as direct access to a secure, paved outside area with seating and raised planters. The centre also provides an oratory and private visiting space. Care planning is in keeping with evidence-based practice and appropriately validated tools are used to inform the assessments of residents’ needs. Residents are provided with relevant information about the provision of service at the centre, and regular meetings and satisfaction surveys take place for feedback. Information on how to raise any concerns is on display for ease of reference along with contact details for independent advocacy arrangements.
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Kiltipper Woods Care Centre, OSV 0000053, 11 July 2018

Kiltipper Woods Care Centre, OSV 0000053, 11 July 2018

The premises were appropriate to manage the needs of the residents who lived there, and to provide the service as described in the statement of purpose. The majority or rooms in the centre were single and en-suite and residents spoken to were complimentary about their size and location. There were handrails along corridors, clean and non-slip flooring and adequate seating rest areas spaced throughout corridors for residents to take breaks. There was also a seating area defined as an internet hub where residents could access computers and

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St Patricks Care Centre, OSV 0000179, 4 July 2018

St Patricks Care Centre, OSV 0000179, 4 July 2018

All bedrooms were single occupancy and en-suite and there were enough additional toilet and bathing facilities off the corridors for the number of residents living in the centre. Bathrooms were appropriately equipped for residents with reduced mobility and spacious enough for those who used standard assistive equipment. Bedrooms were of a good size to allow for them to be personalised with photographs and decorations to the residents' preferences. There was adequate space for residents to store clothing and belongings, as well as lockable storage options for valuables. All bedrooms, bathrooms and communal areas were equipped with accessible call bell facilities. Colours and decor throughout the centre was homely and had sufficient contrast in colour to accommodate the needs of resident’s with dementia. Bedroom and bathroom doors were different colours from each other and there was appropriate pictorial signage to direct residents towards the correct rooms. Communal bathrooms were available on each corridor and were large and spacious. There was discreet symbolic signs on bedroom doors,
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Millhouse Care Centre, Newtown Commons, New Ross, Wexford

Millhouse Care Centre, Newtown Commons, New Ross, Wexford

However, on review of staff rosters inspectors saw that the person in charge had been absent for a continuous period of 28 days. Inspectors also observed that there was one week on the roster where the person in charge had another planned absence and there were no definitive deputising arrangements in place as there was no deputy person in charge employed at that time. It was unclear who was in charge of the designated centre on that particular week given the planned absence of the person in charge. On the day of inspection the new deputy person in charge had only worked eight rostered days with the person in charge prior to her leave starting.
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Adults Services Palmerstown Designated Centre 2, OSV 0003899, 22 February 2018

Adults Services Palmerstown Designated Centre 2, OSV 0003899, 22 February 2018

Inspectors found that while recent changes in practices in preparing meals in the designated centre led to meals being prepared in individual units on one to two occasions per week, overall, meals remained being prepared in a centralised catering unit on campus and delivered to the designated centre before being later reheated and served to residents. A review of dietary intake records of residents by inspectors found that one individual had the same main meal each day for six day period sampled. In general, the total daily intake for this resident remained largely unchanged from day to day. The resident's file was examined by inspectors and it was found that they were identified to be underweight and had been seen by a dietician last in May 2014. A referral had been sent by staff members in January 2017 and a 'priority rating' desktop review was completed by a dietician in February 2018.
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Rosenalee Care Centre, OSV 0000277, 15 October 2018

Rosenalee Care Centre, OSV 0000277, 15 October 2018

At the time of inspection the 22-bedded extension was partially completed. The general manager discussed the new and existing build and highlighted issues with the existing building which will be remedied when the new extension is operational. For example, the sluice room was inadequate for the size and layout of the existing centre, nonetheless, the new build will have sluice rooms on either side of the building as well as upstairs and downstairs. In conjunction with the extension, the general manager advised that several of the existing bedrooms and communal areas will be upgraded and refurbished; flooring will be upgraded; call bell access will be available in communal areas. The entire centre had been rewired whereby new lighting on corridors, new fire safety equipment, a new call-bell system and new external lighting were installed.
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