Seanchara Community Unit, 515, nursing home inspection ... - hiqa.ie

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Significant improvements required There were no telephone facilities which residents could access in private. If a resident wanted to make a call, they had to ask a member of staff for use of the portable telephone or alternatively, they could use a public phone available on the corridor. Page 14 of 29
6. Staff: the recruitment, supervision and competence of staff Outcome: Staff are competent and recruited in sufficient numbers to meet residents’ needs Staff numbers and skill-mix are determined by the size and complexity of the service and there should be sufficient competent staff on duty, both day and night, to meet the needs of residents. Robust recruitment and selection procedures ensure the appointment of suitably qualified and experienced staff. Staff are supported in their work by ongoing training and supervision. Evidence of good practice Three staff files were reviewed by the inspector all contained the required documents together with a contract of employment and a job description. There was good nursing supervision. Each wing had a clinical nurse manager on duty every day and they were supported by the Assistant Director of Nursing. A number of staff nurses and care assistants working on each wing supported the clinical nurse managers. Catering and domestic staff both had supervisors to support them. Inspectors found that staffing levels and skill mix were adequate to meet the needs of residents. The unit facilitated both pre and post registration students from two different colleges. There was a staff library containing a number of research journals and relevant textbooks available to staff and students. This ensured that staff working with residents had access to the theory to support the nursing care they provided. All staff had received moving and handling, fire and cardio-pulmonary resuscitation (CPR) training. Evidence that staff had received training on continence promotion, prevention of constipation, medication, care planning, falls prevention, nutrition, nonviolent crisis intervention together with phlebotomy training and preceptor training was provided to inspectors. A number of staff had received elder abuse training. Names of those who had attended recent training was available to inspectors and dates of future planned training was also provided. There were a number of working groups established. These included: continence promotion restraint activities falls Page 15 of 29
Page 1 and 2: Health Information and Quality Auth
Page 3 and 4: About the centre Description of ser
Page 5 and 6: Summary of findings from this inspe
Page 7 and 8: Overall findings 1. Governance: how
Page 9 and 10: 2. Quality of the service Outcome:
Page 11 and 12: 3. Healthcare needs Outcome: Reside
Page 13: 5. Communication: information provi
Page 17 and 18: Health Information and Quality Auth
Page 19 and 20: 3. The provider is failing to compl
Page 21 and 22: Please state the actions you have t
Page 23 and 24: 5 staff have received specific trai
Page 25 and 26: 13. The provider is failing to comp
Page 27 and 28: 16. The provider is failing to comp
Page 29: Any comments the provider may wish

Seanchara Community Unit, 515, nursing home inspection ... - hiqa.ie

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