The Mental Health Commission has identified several breaches of regulations in relation to the care of residents at an acute psychiatric unit at University Hospital Ennis.
In a detailed report, following an unannounced inspection at the centre last October, the MHC says "no areas of notable good practice" were identified.
The Unit was found to be non-compliant with 16 regulations or codes relating to residents' care and safety.
These include regulations around privacy, clothing provision, transfer of residents, risk management and staff training.
Inspectors found that a group room was being used to accommodate three residents, due to refurbishment work being carried out at the unit.
There was a smell of urine and the room was deemed not fit for purpose. The report says that privacy was an issue there and in other areas inspected.
In general, the premises were not sufficiently clean and there was no evidence of a programme of routine maintenance. Furnishings were described as "inadequate".
Concerns were also raised in relation to ongoing staff training to provide care in line with best practice.
Policies in relation to the risks associated with suicide and self harm were also deficient.
The Mental Health Commission has requested that the HSE provide a corrective action plan in light of its findings.
