The Health Information and Quality Authority has found that a residential care centre for women in Cork has continued to have major non-compliance issues following a recent inspection of the facility.
St Vincent's Centre provides residential care for up to 60 women. When the inspection was carried out on 28 June 2017, there were 39 residents ageing from 22 to 80 years with minimal to medium support needs.
Inspectors found that St Vincent's, which is run by the HSE, had major non-compliance in key areas such as ensuring the care and safety of residents, institutional practices and safeguarding.
HIQA had put the provider on notice that continued non-compliance would result in the authority using its statutory powers as required to ensure residents' health and welfare was protected in this centre.
HIQA said a number of institutional practices in the centre impacted negatively on the quality of life of residents, including the dining experience at mealtimes, the practice of administering medication to residents at their meals and the naming of various areas in the centre as "Blocks".
It also found that residents' healthcare needs were not always being met through timely access to healthcare services and appropriate treatment and therapies.
Management systems were ineffective to ensure that the service provided was safe, appropriate to the residents' needs, consistent and effectively monitored.
There was evidence of a lack of clarity around the reporting of allegations of abuse.
Residents were very anxious in relation to the future of the centre yet the management in the centre had no further information as to whether residents were moving, where residents were moving to or when the move was to take place.
Other findings included that an updated care plan was not in place to ensure that one resident's care, support and well-being needs would be adequately met on her return from hospital. The arrangements in relation to fire safety management systems were not effective.
In addition, the person in charge said that not all staff had up to date training on safeguarding residents.
The HSE has welcomed the publication of the report into St Vincent's Centre.
In a statement, the organisation said it was required to take on the operation of the centre in late March.
They say that where possible issues have been addressed at the centre as they have come to light, but there are "legacy issues" at the centre which will take longer to address.
HIQA has published 19 reports on residential services for people with disabilities, including the report on St Vincent's Centre.
13 of the reports were for centres operated by the Brothers of Charity.
A good standard of practice was found in three centres.
However, eight reports found evidence of non-compliance.
Inspectors identified non-compliance in the other centres in the areas of safeguarding, governance and management, health and safety, risk management, fire safety, management of medicines and social care needs.
Four of the reports published today relate to centres operated by the HSE, including St Vincent's.
Two centres were found to provide a service that, in general, meets residents' needs.
Although a good level of compliance was found in a centre operated by ChildVision, the provider was required to take action in medicines management.
Finally, in a centre operated by Camphill Communities of Ireland, inspectors found that improvements were needed in the management of residents' finances to ensure they were safeguarded.