Positive HIQA report for St Teresa's nursing home in Friar Street, Cashel

Eoin Kelleher

Reporter:

Eoin Kelleher

Email:

eoin.kelleher@tipperarystar.ie

Positive HIQA report for St Teresa's nursing home in Friar Street, Cashel

St Teresa's Nursing Home

St. Teresa's Nursing Home in Friar Street, Cashel, has received a mostly positive report, with recommendations that some areas be improved.

All care homes are subject to regular health and safety standards by the Health Information and Quality Authority (HIQA).

HIQA carried out an unannounced 2-day inspection of St Teresa’s, located off Friar Street, on June 20 and 21, and published it on September 6th. Cashel Care Limited is the registered provider.

The home had 25 residents on the day of inspection, with 5 vacant places. This inspection focused on the care of residents with a dementia in the centre. Overall, care practices were observed and interactions between staff and residents who had dementia were rated using a validated observation tool.

Documentation such as care plans, medical records and staff training records were examined. The inspector also considered progress towards compliance following the previous inspection carried out in April 2017.

“The inspector noted that there had been some improvements in the centre with the most of the actions from the previous inspection had been satisfactorily completed or were in the process of being completed. However, the inspector found that there continued to be a number of improvements required including improvements in the overall monitoring and documentation within the centre including improvements in the care plans, risk management, audit records and notifications to the chief inspector in relation to notifiable incidents.”

The centre did not have a separate unit for people with dementia. At the time of inspection there were 12 residents living in the centre with a formal diagnosis of dementia and a number of other residents suspected of having dementia.

Overall, the inspector found the provider representative and staff team “were committed to providing a good quality service for residents with dementia.”

While improvements were required in relation to care planning documentation, the inspector found that residents’ healthcare needs were met and they had access to appropriate medical and allied healthcare services.

The quality of residents’ lives was enhanced by the provision of a choice of interesting things for them to do during the day and an ethos of respect and dignity for residents was evident. This centre was relatively small and had retained a homely atmosphere.

There was an activities coordinator, and all staff also fulfilled a role in meeting the social needs of residents and staff connected with residents as individuals. The inspector found that residents appeared to be well cared for and residents gave positive feedback regarding all aspects of life in the centre. Overall, the inspector found that the provider representative was working towards creating a comfortable homely environment for residents, including residents with dementia.

The person in charge had submitted a completed self-assessment tool on dementia care to HIQA with relevant policies and procedures prior to the inspection. The person in charge had assessed the compliance level of the centre through the self assessment tool and the findings and judgements of the inspector generally concurred with the person in charges' judgements.

From the eight outcomes reviewed during this inspection, three outcomes were compliant. Additionally, Residents rights', dignity and consultation and safe and suitable premises were deemed to be substantially compliant.

In addition, the social care needs, health and safety and risk management and notification of incidents were judged as a moderate non compliance. Full unedited report at hiqa.ie