Tuesday 19 March 2019

Nursing home 'slow in dealing with resident claims of abuse'

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A Dublin nursing home linked to Beaumont Hospital had inadequate safeguards in place to protect residents when there were allegations of abuse, an inspectors' report has revealed.

The inspection of Raheny Community Nursing Unit last in October also found inappropriate use of restraint of some residents.

Inspectors observed a number of residents being left to wait for up to 30 minutes on the corridor of the nurses' station until staff were available to take them to the sitting room, the report by the Health Information and Quality Authority (HIQA) revealed.

The home, which has 96 residents, took too long to conduct a preliminary screening of complaints of abuse. This should take three days, but it was not completed for six weeks.

The inspectors said the use of physical restraint was not excessive.

However, they added that there were instances when residents' freedom was limited through "physical holding" during personal care.

Inspectors were told this was used to manage responsive behaviours associated with personal care, and had been discussed and agreed with a multi-disciplinary team and residents' families.

"However, evidence of the discussion and agreements were not available," they said.

Inspectors found the assistance provided to residents during breakfast was "particularly rushed".

Staff said they were rushing to make sure that everyone got their breakfast while it was hot.

They were working with many agency staff, who did not know the residents well, and this created more pressure on regular staff.


The report said there were negative impacts to this rushed care, including where residents were assisted to "eat their break- fast, prior to their soiled incontinence wear being changed".

The inspectors found an inadequate corporate governance to ensure the health, safety and protection of residents.

An action plan has been set out detailing the measures that areneeded to meet compli- ance.

Meanwhile, HIQA has published 25 reports on disability services, 14 of which were found to have a good level of compliance with the regulations and standards.

Inspections in eight centres operated by eight different providers found services were being delivered in line with residents' assessed needs.

These providers were KARE, Prosper Fingal, RehabCare, RK Respite Services, St John of God Services, St Margaret's Centre, The Multiple Sclerosis Soc- iety of Ireland and Waterford Intellectual Disability Association.

HIQA visited two community-based centres run by Stewarts Care.

One respite centre was providing residents with a good standard of care and support consistent with their needs.

However, an inspection of another centre found that the provider had continued to fail to provide a safe and reliable service that adequately protected residents from the risk of abuse.

In a centre operated by The Cheshire Foundation in Ireland, a good level of care and support was provided to residents.

However, improvements were required in planning and goal-setting for residents and in managing fire risks.

Three reports have been published for centres operated by St Joseph's Foundation.

While evidence of good practice was found in all three centres, some improvements were needed to meet residents' communication needs and in medicines management, the reports said.

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