St. Joseph's Home is a 40 bedded nursing home that was purpose built in the 1970s. It is accessed via a long driveway and situated approximately one kilometre from Killrorglin town. The centre is divided into two sections, St. Bridget's (rooms 1 to 12) and St. Patrick's (rooms 13 to 23). Bedroom accommodation comprises 14 single bedrooms, one twin bedroom and eight triple bedrooms. Communal space comprises a large sitting room, two small sitting rooms and a seating area in a recessed archway. There was also a kitchen with sufficient cooking facilities and a large dining room.
attended up-to-date fire safety training. There were daily checks of means of escape to ensure that emergency exits remained unobstructed. All safety checks, however, were not conducted in accordance with fire safety guidance issued by HIQA. For example, the fire alarm was not sounded weekly to assess if it was functioning appropriately and that all fire doors would close when the fire alarm sounded. There was fire safety signage on display at intervals along the corridor identifying the evacuation process in St. Mary's wing, however, this had not yet been put in place in the new wing. The fire safety signage identified where you were in the centre in relation to the nearest emergency exit. It did not, however, clearly identify fire compartments within the centre so that staff could identify places of relative safety within the centre in the event of a requirement for horizontal evacuation. While staff members spoken with were knowledgeable of what to do in the event of a fire, they were not clear on which fire doors formed the perimeter of each fire compartment. Fire drills were conducted at frequent intervals. The record of fire drills required review, as it did not provide adequate detail of scenario simulated, the time it would take to evacuate all residents from a compartment and any learning from the drill.
Previous inspection reports identified issues with the premises at St Joseph’s Home, where areas of the physical environment were not suitable for the purpose of achieving the aims and objectives as set out in the statement of purpose including, for example, eight three-bedded rooms, narrow corridors and small clinical facilities. The size and layout of the aforementioned bedrooms were inadequate to ensure the needs, independence, privacy and dignity of residents.
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.
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.
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.
Residents with dementia were supported to maintain their independence. There was an emphasis on promoting health and wellbeing. Residents were encouraged to participate in the social life of the centre. During the inspection a physiotherapist was providing exercise classes to residents. Residents informed inspectors that this was a weekly occurrence. Residents participated in chair-based exercises and individual walking and strengthening exercises with the physiotherapist and staff. The inspector spoke with the physiotherapist who was employed by the nursing home to attend the centre on a weekly basis. On one day of the inspection he had been asked to see 18 residents. Some residents had a private arrangement with him when physiotherapy was required following a hospital stay or for on-going medical issue. He explained that residents with dementia also participated in games such as ball throwing and skittles. He also supplied an individual exercise sheet where appropriate. These exercise sheets were seen in residents' files. Residents informed the inspector that this regular access to
outskirts of Abbeydorney, Kerry. There was access from the main road to a large car park at the side of the premises. Resident accommodation was laid out on the ground floor only. The centre provided accommodation for up to 27 residents comprising 3 single rooms, one of which was en-suite, and 12 twin rooms, all provided with wash- hand basins. All rooms were appropriately furnished, with adequate storage and equipment as necessary. All twin rooms had privacy screens in place. All rooms had a radio or television and were fitted with call-bell facilities. Bathroom and toilet facilities were accessible and appropriately located throughout the centre; these facilities were well equipped and maintained. There was a large garden area at the back of the
The centre was clean and tidy and residents and relatives confirmed that this was usual for the centre. The premises overall was maintained to a high standard with paintwork in a good condition and the fittings, fixtures, curtains and furniture were of good quality. Some of the carpet floor covering in the bedrooms in St Dominic’s required replacing. While they had been cleaned they were visibly stained. The nominated provider and the person in charge informed the inspector that it was planned in the near future to have the floor covering replaced.
Our Lady of Fatima Nursing Home is a single- storey building that commenced operation in 1968 and it provides continuing, convalescent and respite care for up to 66 residents. On the previous inspection the provider had applied to register nine new bedrooms which were to replace the six bedded room and three twin rooms were to be converted to single rooms. The new rooms were in a purpose built wing which contained nine large single en-suite rooms, a sluice room, storage rooms and a nurses station. The inspector saw that the new rooms were very large with plenty of storage space including locked storage space, they also contained a seating area for table and chairs. They were completed to a high specification with large en-suite bathrooms. There were two call bells in each room one by the bed and one for the seating area. The six bedded was converted into an activities room which was seen by the inspector to be of a high
The second action plan received by the Authority did not provide adequate reassurance that the Regulations regarding three day notifications were being complied with in the nursing home as per the requirements of paragraph 7 (i) to (j) of Schedule 4 of the Regulations. For example, a sudden death of a resident and an allegation of peer abuse had not been notified to the Authority within three days of their occurrence or were not submitted retrospectively, as requested on two occasions, by the Authority in the action plans set out for the provider.