An unannounced HIQA inspection of a residential centre for people with intellectual disabilities in Cork has found major failures to comply with regulations under ten of the 14 headings inspected.
The Cope Foundation, which runs the centre, is criticised for recording incidents of unexplained bruising and failing to do anything about them or about other allegations of abuse of residents.
The Cope Foundation's history reaches back over six decades and supports over 2,300 people with intellectual disabilities or autism.
Today's report on its Ard Dara Centre in Montenotte, which accommodates 36 people, is HIQA's second on the eight-bungalow facility.
Last November it sharply criticised management for serious and significant non-compliance and secured an undertaking these would be addressed.
But when inspectors were prompted by an unsolicited complaint to return unannounced in March, they found that 35 out of the 39 actions agreed had not progressed satisfactorily.
The Cope Foundation is criticised for recording incidents of unexplained bruising and failing to do anything about them.
There were no records of any complaints despite significant concerns being raised within the centre and with HIQA.
There was inadequate and inconsistent management of restrictive practices on residents and HIQA had not been notified of them.
One episode of physical restraint had given rise to a smell of urine and some other areas were also dirty.
No staff members had job descriptions, and one was heard by inspectors raising his/her voice unsuitably and with an inappropriate tone towards a vulnerable resident.
There was a lack of both meaningful activities and suitable healthcare provision and there were serious privacy issues for residents.
In light of these findings, senior management agreed to suspend admissions to the centre, including respite admissions.
The Cope Foundation has described the findings contained in the report as "unacceptable and hugely disappointing".
In a statement it says it will address all issues raised "within the resources available and within time-frames agreed with HIQA".
It adds that it is working closely with the regulator to address the issues raised and is in constant contact with HIQA inspectors to update them on changes being made.
The foundation also said it has been in dialogue with the families of the 36 residents concerned and has reassured them of its commitment to meeting statutory standards.
It adds that 16 of its 27 designated residential centres have been inspected to date by HIQA and ten have been successfully registered, while further registrations are pending.