Cork care home reports included some infection control non-compliance

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Marie Corcoran

THREE care homes in Cork have been found to be non-compliant with infection control regulations in recent inspections by the Health Information and Quality Authority (Hiqa).

The watchdog has published 48 inspection reports on residential centers for the elderly across the country in recent days, including 10 reports on centers in Cork, following inspections between January and April.

Levels of non-compliance varied, with nine centers nationwide found to be non-compliant with one rule, seven centers non-compliant with two rules, four centers non-compliant with three rules, and 12 centers non-compliant with four or more rules. .

Instances of non-compliance were identified in areas such as governance and management, resident rights, accommodations, visitation, infection control, healthcare, fire precautions, medications and pharmaceutical services, risk management, individual assessment and care plan, staff, staff training and development, complaints. procedure and the management of difficult behaviours.

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In Cork, five residential centers for the elderly were found to be non-compliant with regulations in one or more areas.

An unannounced inspection of Teach Altra Nursing Home in Newmarket looked at the centre’s compliance with 21 regulations.

The inspection was the fourth inspection of its kind in a year and was organized to follow up on findings of non-compliance made in February, June and November last year.

Overall, the inspector found that the person in charge and the staff worked to improve the quality of life and to promote the rights and choices of the residents of the centre.

The report says residents gave positive feedback and complimented the staff and the care provided at the center.

He also indicates that improvements have been noted in some areas of service delivery and acknowledges the appointment of a new manager.

The inspection found that the facility complied or substantially complied with 19 of the regulations assessed. However, it failed to comply with regulations in two areas – infection control and staffing.

The report indicates that issues related to infection prevention and control continue to be uncovered. He notes a number of concerns, including that there was no schedule for deep cleaning, high dusting and rotation of curtains, which was necessary, and that there were no designated handwashing facilities for staff, so their only access to handwashing facilities was indoors. resident suites or bathrooms.

The report said staffing levels were insufficient for the size and layout of the centre, dependency levels and the number of residents requiring two staff to provide care and transfer.

An inspection of Norwood Grange in Waterfall found that the facility complied or substantially complied with 17 of the 18 regulations assessed, but was non-compliant when it came to infection control.

The inspection report states that it was evident that residents were supported to have a good quality of life in the center and notes that residents told the inspector that “the staff were wonderful, very caring and respectful of their choices. “.

Overall, the report says the inspector found the center to be clean and that the findings of the previous inspection regarding infection control had been taken into account.

However, the inspector found that some improvements were needed in cleaning processes and other areas of practice that could increase the risk of cross-infection in the centre.

Among the issues identified, the report says not all staff were bare below the elbow to ensure hands could be effectively cleaned.

An inspection of Blair’s Hill Nursing Home in Sunday’s Well found the center failed to meet infection control regulations and staff failed to consistently follow standard infection control precautions.

The report notes that staff were not bare below the elbow as recommended by hand hygiene guidelines.

Among other issues noted, the report states that staff did not consistently wear respirator masks for all resident care activities, as recommended in the guidelines, and that one staff member wore the same plastic apron for several hours on the morning of the inspection.

It also indicates that the environment was not managed in such a way as to minimize the risk of transmission of a nosocomial infection.

The report says the inspector was assured that residents living in the center enjoyed a good quality of life. Four residents of the centre, who spoke to the inspector, “were very complimentary in their comments and said they were satisfied with the quality of care provided”.

An inspection of Clonakilty Community Hospital found the facility to be compliant or substantially compliant with all 17 regulations assessed. However, it was non-compliant in the area of ​​staff training and development.

The report states that training records reviewed on the day of the inspection did not provide evidence that all staff had received mandatory training. Approximately 10% of staff required training on protecting vulnerable adults and 90% of staff required training on responsive behaviours.

The report says that overall residents described being satisfied and happy to live in the center and they acknowledged that there had been many improvements in the center over the past few years.

An inspection at Youghal Community Hospital found that the center complied or substantially complied with regulations in 19 areas, but failed to comply in two areas: fire precautions and premises.

The report says that at the time of the inspection, the registered provider had failed to take adequate precautions to ensure residents were protected from the risk of fire, with a number of issues identified relating to improper fire safety management, including gaps around fire doors. .

An Urgent Action Plan has been issued to the vendor requiring that the issues identified be resolved as soon as possible due to the severity of the findings.

Additionally, the inspector found that a number of serious findings, which had been highlighted in an external report on fire safety at the center which had been received in 2021, had not been addressed.

With regard to the premises, the report indicates that the inspector found a number of issues which needed to be resolved since the previous inspection to bring the premises into compliance with the regulations, including the replacement of the flooring in a certain number of areas.

The report said general feedback from residents and relatives was that Youghal Community Hospital was a comfortable place to live, where residents were known to staff and felt safe in their care. Residents felt their rights and choices were respected and said staff were kind and caring and available to listen to any concerns they might have.

National picture

Of the 48 reports issued nationwide, inspectors found evidence of good practice and compliance with regulations and standards during a number of inspections.

Hiqa found 16 centers to be fully compliant or substantially compliant with national standards and regulations.

This included five centers in Cork: Macroom Community Hospital, Unit 1 St Stephen’s Hospital in Glanmire, Bandon Community Hospital, Bridhaven Nursing Home in Mallow and Strawhall Nursing Home in Fermoy.

Hiqa’s full reports are available at www.hiqa.ie.

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