A residential centre for adults with intellectual disabilities has been criticised by HIQA for failing to notify the watchdog on time of an allegation of staff misconduct.
The MooreHaven centre in Tipperary was also criticised for continuing to use a restrictive practice on a resident despite evidence that it was no longer necessary and despite failures to professionally review it and to seek the resident's consent or that of a representative.
The MooreHaven centre had 18 residents when it was subjected to an unannounced inspection last July.
It was its first inspection in almost three years.
Today's report from HIQA states that of the 18 standards examined, the centre was seriously failing to comply with four.
The facility is in a suburban area of Tipperary Town and accommodates adults in the mild to moderate range of intellectual disability in four separate houses where each resident has a single room.
The inspector met with nine residents and records that they interacted warmly with staff and appeared to enjoy their surroundings.
However, the report criticises the centre for failing in its statutory duty to notify HIQA of an allegation of staff misconduct within the required timeframe.
The failing was rectified once the inspector brought it to management's attention.
The watchdog also criticises MooreHaven for continuing to use a restrictive practice on a resident which "was historical in nature, not associated with any current displayed behaviour and not subject to review by a behavioural support specialist".
The report adds that the "consent for the use of this therapeutic intervention was not sought from the resident or their representative prior to its implementation".
It does not describe the nature of the intervention.
The report records that, prior to the inspection, HIQA's chief inspector was notified of an allegation of abuse and the person in charge of the centre had described to the inspector the safeguarding arrangements in place for residents.
However, the arrangements were not documented as required.
The shortcoming was rectified promptly.
The inspector found that medications were not administered as prescribed to a resident who was given one instead of two doses on the day of the inspection.
The same resident was being given the medication in the morning instead of at night.
The report continues: "Epilepsy care plans and associated prescription sheets were also not in line with each other and indicated different timelines for the administration of a rescue medication.
"The prescription sheet was transcribed by the person in charge to a 'sample sheet' which staff members referred to for the administration of medications. This inspector found that this sheet did not contain all the required information such as the route and frequency of administration. The recording of administered medications also required improvement as medications were not individually signed as being administered."
In an action plan agreed with the centre to address the identified failings, the watchdog also asked the centre to make improvements to its fire precautions.