Cashel's St Patrick's Hospital continues to have “significant challenges” to the provision of person-centred
care which respects residents' “privacy, dignity and independence”, according to a new report.
A Health and Information Quality Authority (Hiqa) Inspector carried out an unannounced examination of St Patrick's Hospital on the Cahir Road on May 25h this year, as required of it by law. The report was published on August 5th.
St. Patrick's Hospital consists of a total of six units over two sites. Residential, respite and rehabilitation accommodation is provided on the main campus in Cashel; respite and residential accommodation is provided in Clonmel.
The Registered Provider is the HSE, and the Provider Nominee is Bridget Farrell.
Overall, St Patrick's was deemed to be compliant or substantially compliant in nine out of ten criteria. However, it was found to be 'majorly' non compliant in terms of not having a safe and suitable premises.
The Inspector noted that “the premises continued to provide significant challenges to the provision of person-centred care that respected the privacy, dignity and independence of residents.”
The Inspector also followed up on any actions arising from the previous registration renewal inspection of May 2015. The majority of actions had been completed “with the exception of the premises and issues relating to care planning and end-of -life care.” Additionally, the bedroom accommodation was generally set out in multi-occupancy “bays” and “did not meet the specifications set out in (the) criteria.”
“No progress had been made in relation to the premises since the previous inspection. Overall, the premises did not meet the collective and individual needs of residents, in particular St Clare’s ward which was the focus of this inspection. The design and layout of the units was not suited to meeting the individual or collective needs of residents in terms of their privacy, dignity, independence and space provided.” Some of the rest of the bedrooms provided accommodation for three to seven residents. “The size and wardtype layout of these bedrooms did not provide adequate space for residents at their bedside for provision of care, private activities, personal storage and the use of assistive equipment.”
The inspector saw that two multi-occupancy rooms continued to act as corridors or thoroughfares, “thereby impacting on and limiting the privacy that could be afforded to both residents.”
However, the report praises those areas where significant progress has been made. In terms of governance, the actions required from the previous inspection were “satisfactorily implemented.”
Under safety and support, the report states: “Residents had been regularly reviewed by their GP, and there was access to psychiatric services for further specialist input as observed by the inspector.
“The behaviour support plans seen were person-centred, guided practice and included input from the psychiatric liaison support team, the resident and their families.”
Also, “the inspector observed that access to all high risk areas have been reviewed to ensure that appropriate security systems are fitted to all high risk areas in line with risk management policy.” Full report at hiqa.ie