A Health Information and Quality Authority report on a residential service for men in Co Kildare has found there were not adequate systems to protect residents and staff.
The inspection of the Chapel View centre says a review of incident records demonstrated that staff were frequently injured and there were five injuries which required notification to the Health and Safety Authority in a one month period.
Chapel View is operated by Nua Healthcare Services.
The inspection found the incident forms provided to inspectors did not demonstrate that incidences were being appropriately reviewed and showed measures to reduce risk were not consistently implemented.
For example while the policy stated that male staff were to be present at certain times when it was clear that a risk was present an incident record stated that only female staff members had been involved.
While the inspectors found staff engaged with residents in a dignified and respectful manner they also reported that staff resources were not organised in a way to meet the assessed needs of residents.
Hygiene issues raised at Palmerstown unit
A HIQA report on a residential centre for adults in Palmerstown, Co Dublin found that the person in charge visited the unit between one and three times a week and the visits lasted around 20 to 30 minutes.
The person in charge agreed that this was not sufficient time.
The Adult Services Palmerstown, Designated Centre 1 is operated by Stewarts Care Limited.
The inspectors found the health and safety of residents, visitors and staff were not consistently protected and promoted and improvement was required in infection control and in responding to hazards identified in the unit.
On the morning of the inspection, the inspectors observed areas of the unit to be unclean with food debris on the dining room table and on the floor.
The inspectors also observed a resident was subsequently served their morning meal without this area being cleaned and the inspectors were not assured appropriate hygiene practices were in place.
In response Stewarts Care Limited has said that an additional Clinical Nurse Manager has been assigned to support the Person In Charge of the centre and that it has appointed an external body to review of the scope of the Person In Charge.
That review started in June and will be completed by September.