Balt­in­glass Hospi­tal re­ceives largely pos­i­tive HIQA re­port


Wicklow People (West Edition) - - FRONT PAGE - By EIMEAR DODD

A gen­er­ally pos­i­tive HIQA re­port has raised a con­cern about the use of re­stric­tive prac­tices at Balt­in­glass Com­mu­nity Hospi­tal.

The in­spec­tion re­port, which was pub­lished last Tues­day, was gen­er­ally pos­i­tive about the ser­vice re­ceived by res­i­dents of the cen­tre. How­ever, the in­spec­tors ex­pressed a con­cern that res­i­dents’ qual­ity of life would be en­hanced by a re­duc­tion in the use of re­stric­tive prac­tices which can in­clude phys­i­cal or en­vi­ron­men­tal prac­tices that may limit a per­son’s choices.

The HSE run nurs­ing home re­ceived an unan­nounced visit from in­spec­tors on May 8 last which was fo­cused on phys­i­cal or en­vi­ron­men­tal re­stric­tive prac­tices that may be in use in the cen­tre.

The in­spec­tors noted that res­i­dents were ac­tively in­volved in the de­vel­op­ment of the cen­tre, not­ing that sug­ges­tions about the cen­tre’s en­vi­ron­ment in­flu­enced its de­vel­op­ment. This in­cluded high­light­ing the pop­u­lar­ity of the cof­fee dock in the re­cep­tion area.

The in­spec­tors also ob­served dur­ing their visit that a good level of care was be­ing pro­vided to res­i­dents by care staff.

How­ever, in­spec­tors were con­cerned that the use of sen­sor mats be­side beds for some res­i­dents could de­ter in­di­vid­u­als from mov­ing in or­der to avoid un­wanted at­ten­tion from care staff or noise. The in­spec­tors ac­knowl­edged that the sen­sor mat was in place to pre­vent falls by alert­ing a staff mem­ber to pro­vide as­sis­tance. They sug­gested that this may af­fect a res­i­dent’s free move­ments.

In­spec­tors were also con­cerned that al­ter­na­tives tried be­fore the use of re­stric­tive prac­tices were not con­sis­tently recorded in care plans.

The HIQA re­port also noted that one re­stric­tive prac­tice was not doc­u­mented on the cen­tre’s list of re­stric­tive prac­tices. While res­i­dents’ move­ments were gen­er­ally un­re­stricted within the cen­tre, ex­ter­nal doors were locked and could only be opened by a key­pad. In­spec­tors ex­pressed a con­cern that this af­fected res­i­dents’ abil­ity to en­joy the out­door area of the cen­tre.

In a state­ment to the Wick­low Peo­ple, a HSE spokesper­son said, ‘HSE Dublin South, Kil­dare and West Wick­low Com­mu­nity Health­care ac­cepts the in­spec­tion re­port is­sued by HIQA in re­gard to an unan­nounced visit to Balt­in­glass Com­mu­nity Hospi­tal on May 8 2019. The HSE has taken ac­tion to ad­dress the find­ings of the re­port and also notes that the re­port re­flects the high stan­dard of care pro­vided in Balt­in­glass Com­mu­nity Hospi­tal as well as ac­knowl­edg­ing res­i­dents are ac­tively in­volved and in­flu­ence de­vel­op­ment of the Hospi­tal en­vi­ron­ment.

‘In­spec­tors were very pos­i­tive about care af­forded to res­i­dents and the level of com­pli­ance with stan­dards, it was stated in the re­port res­i­dents felt safe in the cen­tre and their pri­vacy and dig­nity was re­spected.’

Balt­in­glass Hospi­tal.

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