HIQA finds cen­tre is ‘un­suit­able’ for needs of clients


Bray People - - NEWS - By MARY FOG­A­RTY

A CEN­TRE for adults with dis­abil­i­ties is in­sti­tu­tional and un­suit­able for the needs of its res­i­dents, ac­cord­ing to sub­mis­sions man­age­ment made to a HIQA re­port.

In­spec­tors learned that man­age­ment of St John of God cen­tre at Ravenswell had iden­ti­fied this, and plan to fa­cil­i­tate com­mu­nity based hous­ing for the res­i­dents.

The re­port found that staff at the cen­tre want the ‘very best’ for the res­i­dents there, and that the res­i­dents ap­peared happy, con­tent, and at ease with staff.

The cen­tre pro­vides res­i­den­tial and respite ser­vices to 11 adults with dis­abil­i­ties. The cen­tre com­prises of two sep­a­rate dwellings, staffed on a 24/7 ba­sis.

Ac­cord­ing to the re­port, the provider has said that the premises are not suited for their stated pur­pose and they have com­menced plans to sup­port res­i­dents to tran­si­tion to com­mu­nity based houses.

The cen­tre was in­spected last Au­gust and the re­port was re­leased on De­cem­ber 12, 2018. In­spec­tors spoke to res­i­dents and vis­i­tors as well as staff and man­age­ment, and ob­served daily life at the cen­tre.

Res­i­dents ap­peared happy and con­tent in their home. They showed the in­spec­tors around and ap­peared com­fort­able in the pres­ence of staff. Man­age­ment and staff sup­ported res­i­dents in a dig­ni­fied, pro­fes­sional and per­son-cen­tred man­ner, the re­port found.

How­ever, the cen­tre con­sists of two large dwellings on a cam­pus based setting. The provider had iden­ti­fied that the cen­tre did not pro­vide for a homely en­vi­ron­ment and large sec­tions of the build­ing (in which the cen­tre was lo­cated) were not in use and sealed off from res­i­dents. The provider’s gov­er­nance sys­tem was not ef­fec­tively re­spond­ing to this sit­u­a­tion.

The re­port said that tan­gi­ble time lines had not been iden­ti­fied to bring plans to move to fruition, re­sult­ing in res­i­dents con­tin­u­ing to live in­def­i­nitely in an in­sti­tu­tion­alised setting.

De­spite sig­nif­i­cant chal­lenges with the en­vi­ron­ment, the re­port found that the per­son in charge con­tin­ued to pro­vide good lead­er­ship and sup­port to her team.

She en­sured staff were ap­pro­pri­ately qual­i­fied, trained and sup­ported which in turn meant they had the re­quired skills to pro­vide for the needs of the res­i­dents.

Over­all, the in­spec­tion found that the man­age­ment and staff of this cen­tre were skilled and trained pro­fes­sion­als pro­vid­ing good qual­ity care and sup­port to the res­i­dents. How­ever, the cen­tre was not ap­pro­pri­ate or con­ducive in meet­ing some of the as­sessed needs and was not an ap­pro­pri­ate en­vi­ron­ment for the pro­vi­sion of respite ser­vices. It did not pro­vide for a homely en­vi­ron­ment and was in­sti­tu­tional in de­sign and ap­pear­ance.

In­spec­tors found that staff, too, wanted the very best for the res­i­dents and sup­ported them in a dig­ni­fied, warm and pro­fes­sional man­ner. They were found to be help­ing res­i­dents to have mean­ing­ful and ac­tive lives based on their in­ter­ests and pref­er­ences, and en­sur­ing their ac­cess to health­care.

The provider was in­structed to en­sure com­pli­ance in terms of ar­range­ments for con­tain­ment of fire as a mat­ter of ur­gency.

There were sys­tems in place to en­sure all fire fight­ing equip­ment was ser­viced an­nu­ally. A sam­ple of doc­u­men­ta­tion in­formed the in­spec­tors that staff un­der­took daily, weekly and monthly checks on all fire fight­ing equip­ment as re­quired and re­ported any is­sues or faults.

How­ever, be­cause of the lay­out of this cen­tre it was not demon­strated that the ar­range­ments in place were ad­e­quate for the con­tain­ment of fire or to meet the re­quire­ments of the reg­u­la­tions. This re­sulted in an ur­gent com­pli­ance plan be­ing is­sued to the provider on com­ple­tion of the in­spec­tion seek­ing as­sur­ances that the sys­tems in place to man­age fire safety were ad­e­quate. The provider re­sponded with ap­pro­pri­ate as­sur­ances af­ter con­sult­ing with a com­pe­tent per­son in fire safety.

Res­i­dents will be fa­cil­i­tated to live in com­mu­nity based group homes where the en­vi­ron­ment will be con­ducive to meet their needs in a homely man­ner, with plans in place for quar­ter two and quar­ter four, 2019.

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