TLC City West 0692 nursing home inspection report - hiqa.ie

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StaffdesignationNumber ofstaff on dutyon day ofinspectionPersoninChargeNursesCarestaffCateringstaffCleaningandlaundrystaffAdminstaff1 3 6 3 3 2 0OtherstaffPage 4 of 30
Summary of findings from this inspectionThis was an unannounced inspection, carried out over two days. The Authority’sChief Inspector of Social Services received a copy of a complaint from a relativemade to the person in charge. The inspection was informed by this complaint andthe issues in it were considered by the inspectors during the inspection. On the dayof inspection, this complaint was discussed with the person in charge, who showedthe inspectors the complaint investigation report she had completed. The person incharge told the inspectors that she was awaiting the return of the provider fromannual leave in order to arrange a meeting with the complainant, to discuss thefindings of her investigation.The inspection was facilitated in a helpful and welcoming way by the person incharge and staff working at the centre. The inspectors spoke with the residents andrelatives, observed what happened in the centre and viewed records.Staff provided care to residents in a competent and respectful manner. However,there were significant improvements required in assessment and care planning forresidents, to ensure that all their needs were identified and the appropriate careplans implemented for each resident. The medication management policy requiressignificant improvement to support the delivery of care and ensure all medicationsare available for residents when required.Residents could choose from a variety of things to do in the centre and many of theresidents spoke positively about these activities. There were some improvementsrequired in this area to ensure the participation and fulfilment of more highlydependant residents.The occupancy of the centre was at 50% of its registered capacity. This reportidentifies a number of areas of significant improvements required before fulloccupancy is reached, in order to ensure that residents receive a quality service andare safe.The person in charge was required to submit an Action Plan to the Authority withinten days, to ensure the accurate and timely assessment of residents and theimplementation of care plans, with particular attention to be given to the continuityof care from hospital to the nursing home.Residents’ and relatives’ commentsResidents told inspectors that they felt well cared for and that all of their needs weremet. Residents and relatives complimented the staff and said they were friendly. Oneresident said the staff were “hand picked”. A relative said “every member of staff isgreat from the cleaner to the matron. You can talk to them at any time”. Residentsalso said that they feel very safe because the staff are always available to them andthe staff answer the call bells promptly.Page 5 of 30
Page 1 and 2: Health Information and Quality Auth
Page 3: About the centreDescription of serv
Page 7 and 8: Overall findings1. Governance: how
Page 9 and 10: 2. Quality of the serviceOutcome: R
Page 11 and 12: Meals were not served in the dining
Page 13 and 14: 4. Premises and equipment: appropri
Page 15 and 16: Significant improvements requiredTh
Page 17 and 18: Significant improvements requiredSe
Page 19 and 20: Please state the actions you have t
Page 21 and 22: Please state the actions you have t
Page 23 and 24: 8. The provider is failing to compl
Page 25 and 26: Santry and Mrs Tanya Spellman, DON
Page 27 and 28: 14. The provider has failed or is f
Page 29 and 30: RecommendationsThese recommendation

TLC City West 0692 nursing home inspection report - hiqa.ie

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