Baltinglass Hospital receives largely positive HIQA report
LARGELY POSITIVE REPORT FOR BALTINGLASS HOSPITAL
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.’