Top PDF Oaklands Nursing Home, Derry, Listowel, Kerry

Oaklands Nursing Home, Derry, Listowel, Kerry

Oaklands Nursing Home, Derry, Listowel, Kerry

management procedures. Each resident had a care plan developed within 48 hours of their admission based on their assessed needs. There were care plans in place that detailed the interventions necessary by staff to meet residents’ assessed healthcare needs. They contained the required information to guide the care and were regularly reviewed and updated to reflect residents’ changing needs. There was evidence that residents and their family, where appropriate participated in care plan reviews. The inspector found that the care plans guided care and were were person centred and individualised. Nursing staff and health care assistants spoken with were familiar with and knowledgeable regarding residents up to date needs.
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Oaklands Nursing Home, Derry, Listowel, Kerry

Oaklands Nursing Home, Derry, Listowel, Kerry

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

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Oaklands Nursing Home, Derry, Listowel, Kerry

Oaklands Nursing Home, Derry, Listowel, Kerry

The inspector reviewed a sample of residents’ medicine prescription records and they were maintained in a tidy and organised manner, they were clearly labelled, they had photographic identification of each resident and they were legible. There was evidence that residents’ medicine prescriptions were reviewed at least every three months by a medical practitioner as well as a pharmacist. Where medicines were to be administered in a modified form such as crushing, this was prescribed in a special instruction sheet included with the medication prescription but was not individually prescribed by the prescriber on the prescription chart. This could lead to errors as not all medications can be crushed and nursing staff could be administering them as such. However, the nursing staff did inform the inspector that the pharmacist supplied them with information on medications that could and could not be crushed and they demonstrated their
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Lystoll Lodge Nursing Home, Skehenerin, Listowel, Kerry

Lystoll Lodge Nursing Home, Skehenerin, Listowel, Kerry

The inspector found that the governance and management system in the centre was not in compliance with the regulations for the sector, specified in the introduction to this report. Similar to findings on the previous inspection, an annual review of the quality and safety of care had not been completed for 2015 and 2016. This was required under Regulation 23(d). The person in charge stated that she was aware of this requirement, as this had been identified as an action to be completed following the last inspection of 11 and 12 May 2016. At that time, the timescale for completion of the annual review had been identified by the provider as 31 October 2016. In addition, management meetings were not held. Minutes were not available and senior management staff confirmed with the inspector that there were no management meetings held to coordinate nursing and administration management in the centre, for example, staff supervision requirements such as, staff appraisals. Staff supervision arrangements were a requirement under Regulation 16 (b).
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Oaklands Nursing Home, OSV 0000260, 9 May 2018

Oaklands Nursing Home, OSV 0000260, 9 May 2018

Oakland’s Nursing Home is a single-storey building that was purpose-built and opened in 1991. The premises had been substantially renovated and extended since it was first built and now provides accommodation for up to 51 residents in a mixture of 27 single and 12 twin en-suite bedrooms. Communal accommodation consists of two spacious lounges and a large dining room. There are two enclosed gardens for residents use which can be easily accessed from the centre. The centre is located in a rural location approximately four miles outside of the town of Listowel. It is a mixed gender facility that provides care predominately to people over the age of 65 but also caters for younger people over the age of 18. It provides care to residents with varying dependency levels ranging from low dependency to maximum
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Oaklands Nursing Home, OSV 0000260, 5 September 2018

Oaklands Nursing Home, OSV 0000260, 5 September 2018

Oakland’s Nursing Home is a single-storey building that was purpose-built and opened in 1991. The premises had been substantially renovated and extended since it was first built and now provides accommodation for up to 51 residents in a mixture of 27 single and 12 twin en-suite bedrooms. Communal accommodation consists of two spacious lounges and a large dining room. There are two enclosed gardens for residents use which can be easily accessed from the centre. The centre is located in a rural location approximately four miles outside of the town of Listowel. It is a mixed gender facility that provides care predominately to people over the age of 65 but also caters for younger people over the age of 18. It provides care to residents with varying dependency levels ranging from low dependency to maximum
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Oaklands Nursing Home, OSV 0000260, 10 December 2018

Oaklands Nursing Home, OSV 0000260, 10 December 2018

Oakland’s Nursing Home is a single-storey building that was purpose-built and opened in 1991. The premises had been substantially renovated and extended since it was first built and now provides accommodation for up to 51 residents in a mixture of 27 single and 12 twin en-suite bedrooms. Communal accommodation consists of two spacious lounges and a large dining room. There are two enclosed gardens for residents use which can be easily accessed from the centre. The centre is located in a rural location approximately four miles outside of the town of Listowel. It is a mixed gender facility that provides care predominately to people over the age of 65 but also caters for younger people over the age of 18. It provides care to residents with varying dependency levels ranging from low dependency to maximum
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Kilcara House Nursing Home, Kilcara, Duagh, Listowel, Kerry

Kilcara House Nursing Home, Kilcara, Duagh, Listowel, Kerry

An audit of health and safety issues was undertaken in all areas recently and the inspectors saw records of these checks. Inspectors were aware of the benefits of promoting a home like environment for the residents, however, the lighted open fire was not adequately secured. The provider was asked to reassess the risk and has put a secure fire guard in place since this inspection. There was a lift from the ground floor to the upstairs section and inspectors were informed that one resident uses this

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Kilcara House Nursing Home, Kilcara, Duagh, Listowel, Kerry

Kilcara House Nursing Home, Kilcara, Duagh, Listowel, Kerry

relation to the moving and handling of residents and this staff member did not have fire training or elder abuse training done. There was evidence in the roster that a staff nurse was on duty at all times in the centre except for one Wednesday afternoon. The nurse manager said that this was an omission from the roster and the night nurse informed inspectors that she had been asked to do that shift. Inspectors viewed up-to-date registration details with the relevant professional body for nursing staff. The person in charge lives adjacent to the centre and the nurse manager stated that she would attend the nursing home when required.
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Kilcara House Nursing Home, Kilcara, Duagh, Listowel, Kerry

Kilcara House Nursing Home, Kilcara, Duagh, Listowel, Kerry

number of residents. Eye care consultations and chiropody treatment were documented in the sample of care plans seen. Medication management practices were reviewed and monitored by regular audit. Pharmacists were facilitated to meet their obligations to residents and there was a choice of pharmacist available where possible. End of life care plans were in place for residents and a number of these were seen to be signed by residents. In addition, residents' wishes were clearly documented including where a resident had requested to be taken home at the end of life.

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Lystoll Lodge Nursing Home, Skehenerin, Listowel, Kerry

Lystoll Lodge Nursing Home, Skehenerin, Listowel, Kerry

The inspector spoke with the chef who said that she regularly met with the person in charge and the provider to discuss the residents' dietary needs. The chef showed the inspector her files, which contained relevant information, including advice from the speech and language therapist, the dietician and a record of residents’ food preferences. Food preferences and special requirements were written up daily on a whiteboard in the kitchen and the inspector saw that this also included information on drug interactions with certain foods. The chef and the kitchen staff indicated that they received relevant training in food safety and HACCP (food hygiene). The inspector saw these records in the training file. The chef also showed the inspector a list of residents on diabetic diets and on gluten free diets. The chef explained to the inspector how she ensures that the diet is nutritious by having a variety of meat, vegetables and fruit sourced from a reputable supplier, as well as providing home cooked bread and cakes. The inspector saw the supply of both fresh and frozen foods as well as the dry stores and saw that there was a variety of food available including fresh fruit and dairy produce.
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Aras Mhuire Nursing Home, Greenville, Listowel, Kerry

Aras Mhuire Nursing Home, Greenville, Listowel, Kerry

The care plans assessed were regularly reviewed on at least a four monthly basis and records reflected consultation with residents and their families as appropriate. A regular audit of care plan management was in place that had last been completed in December 2016. The centre operated a system whereby a nominated member of the clinical staff team had responsibility for the oversight and monitoring of individual care plans. Based on observations, feedback and a review of documentation and systems, there was good evidence that suitable arrangements were in place to ensure that the health and nursing needs of residents with dementia or cognitive impairment were appropriately met. However, the layout of care plans did not always support access to information with documentation sometimes stored in several different files.
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Aras Mhuire Nursing Home, Greenville, Listowel, Kerry

Aras Mhuire Nursing Home, Greenville, Listowel, Kerry

The inspector reviewed a sample of records for two residents who had recently received end of life care. The records indicated that residents had been medically reviewed by their general medical practitioner on a frequent basis and the nursing care plans and daily nursing notes indicated the residents had also received appropriate nursing care. Upon referral community palliative care services had been made available when required and a multi-disciplinary care approach was clearly evident. The records indicated good communication between all health professionals and the individual residents as well as involvement with the respective relatives.
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Aras Mhuire Nursing Home, Greenville, Listowel, Kerry

Aras Mhuire Nursing Home, Greenville, Listowel, Kerry

Resident records checked were complete and contained information as detailed in Schedule 3, including care plans, assessments, medical notes and nursing records. Policies, procedures and guidelines in relation to risk management were up-to-date and available as required by the Regulations, including fire procedures, emergency plans and records of fire training and drills. Maintenance records for equipment including hoists and fire-fighting equipment were also available. Records and documentation were securely controlled, maintained in good order and retrievable for monitoring purposes. A current insurance policy was available verifying that the centre was adequately insured against accidents or injury to residents, staff and visitors.
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Lystoll Lodge Nursing Home, Skehenerin, Listowel, Kerry

Lystoll Lodge Nursing Home, Skehenerin, Listowel, Kerry

The person in charge had recently been appointed in the centre. She was interviewed by inspectors. She was found to fulfil the regulatory criteria required for the post. The person in charge had been working as a nurse in the centre for the previous six years, included a period of time as assistant director of nursing. She was employed full time in the centre. The person in charge demonstrated clinical knowledge in ensuring suitable and safe care. She demonstrated knowledge of the legislation and of her statutory responsibilities. She was engaged in the governance, operational management and administration of this centre on a regular and consistent basis. She met regularly with the provider and staff. Minutes were maintained of these meetings. She organised audit in the centre. She explained to inspectors that she was engaged in continuous
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Riverside Nursing Home, Milltown, Abbeydorney, Tralee, Kerry

Riverside Nursing Home, Milltown, Abbeydorney, Tralee, Kerry

The inspector found evidence-based nursing care was provided as residents’ records indicated that their body weights were taken regularly, a well-recognised nutritional assessment tool was used frequently to monitor residents' nutritional status and residents that required it were closely observed for their daily food and fluid intake. If required referrals were made to dietician services for nutrition review and/or speech and language therapy if a resident had swallowing difficulties (dysphagia). As already

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Kilcara House Nursing Home, Kilcara, Duagh, Kerry

Kilcara House Nursing Home, Kilcara, Duagh, Kerry

Systems were in place to safeguard residents' money. The provider and deputy director of nursing outlined practices used to record financial transactions. The provider stated that fees were handled separately to personal money/belongings. He stated that invoices were sent out regularly, which reflected payments made. He informed the inspector that he would review the practice of not providing receipts for some services and any extra purchases. Personal money transactions were recorded in a lodgement book and signed by two staff members. A sample of these were checked and seen to be correct.
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Killarney Nursing Home, Rock Road, Killarney, Kerry

Killarney Nursing Home, Rock Road, Killarney, Kerry

There was evidence of a programme of induction for new staff and a staff appraisal system for existing staff. However, the staff appraisal system had lapsed and records indicated that when appraisal was done it was not always reflective of actual staff performance. Additionally there was not always a process of performance development implemented where staff records indicated that it was warranted. Evidence of current registration was available nursing staff. A review of personnel records indicated that most of the requirements of Schedule 2 were met, however, a full employment history was not available for all staff and not all recently recruited staff had been vetted by An Garda Síochána, however, records of vetting from their jurisdiction of origin was
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Kilcara House Nursing Home, Kilcara, Duagh, Kerry

Kilcara House Nursing Home, Kilcara, Duagh, Kerry

This inspection of Kilcara Nursing Home by the Health Information and Quality Authority (HIQA) was an unannounced inspection. As a result of finding of non- compliance with regulations on the previous registration renewal inspection, a follow- up inspection was carried out. This was done to ascertain if the required actions had been addressed to the satisfaction of the Chief Inspector, prior to a decision being made on whether or not conditions would be attached to the registration renewal. On the day of inspection there were 29 residents in the centre and six vacant beds. During the inspection, inspectors met with residents, the provider, the person in charge, staff from various roles, kitchen and household staff. Inspectors reviewed documentation such as, the complaints log, the risk register, care plans, training records and the annual review of the quality and safety of care. A new person in charge had been appointed since the previous inspection. She was supported in the management of the centre by the deputy person in charge.
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Killarney Nursing Home, Rock Road, Killarney, Kerry

Killarney Nursing Home, Rock Road, Killarney, Kerry

Killarney nursing home is two storey premises comprising 56 beds, of which 52 are single bedrooms and two are twin-bedded. The centre had suffered some damage caused by the dislodged roof of an adjacent building during a storm resulting in the temporary evacuation of the residents, however, all repair work had been completed prior to this inspection and all residents had returned to the centre.

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