Gallen Priory Nursing Home, 37, inspection report 28 - hiqa.ie

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eviewed files for a sample of these residents and found that there was anassessment completed for the use of the restraint. There was evidence thatalternative strategies had been tried prior to the use of restraint in line with thecentres policy and the national guidelines on the use of restraint. Records weremaintained documenting the release of the restraint.There were opportunities for each resident to participate in activities appropriate tohis or her interests and capacities. The inspector met with the activities coordinatorresponsible for activities on that day. A social care assessment had been completedin respect of each resident and this information was used to develop activity careplans. There was evidence that residents engaged in activities such as painting,exercises, and music, crafts, reading and current affairs. A schedule was developedby the activity coordinator and she told inspectors this was reviewed and changed toaccommodate resident’s wishes on a day-to-day basis.Article 33: Ordering, Prescribing, Storing and Administration of MedicinesInspectors found evidence of good medication management processes. There werecomprehensive medication management policies which provided guidance to staff.Inspectors observed the nurses on part of their medication rounds and found thatmedication was administered in accordance with the policy and An Bord Altranaisguidelines. All medications no longer used were signed as discontinued by themedical practitioner. Some residents had as required (PRN) medication prescribedand the maximum dose in 24-hours was recorded on the prescription sheet.Medications that required special control measures were carefully managed and keptin a secure cabinet in keeping with the Misuse of Drugs (Safe Custody) Regulations,1982. Nurses kept a register of controlled drugs. Two nurses signed and dated theregister at the time of administration and the stock balance was checked and signedby two nurses at the change of each shift. Inspectors checked the balances andfound them to be correct.A medication fridge was in place and inspectors noted that it was kept in a lockedroom and the daily temperatures were recorded. There were appropriate proceduresfor the handling and disposal of unused and out-of-date medicines. Inspectors alsonoted that there was regular input from the pharmacist who audited drug stocks andmedication management practices and provided regular updates for staff.The person in charge maintained records of medication errors and used these toimprove the service with the pharmacy. The GP reviewed every resident’s medicationthree-monthly and these records were reviewed by inspectors.Page 10 of 20
Article 6: General Welfare and ProtectionInspectors found that there were specific arrangements in place to protect residentsfrom being harmed or suffering abuse and the person in charge, proactively soughtfeedback on issues of concern from residents and relatives. Some improvementswere identified in the provision of mandatory training to staff.There was a policy on and procedures in place for the prevention, detection andresponse to abuse. During the fit-person interview the person in chargecomprehensively detailed how she would investigate an allegation of abuse.Training records showed that all staff had formal elder abuse training, had access tothe policy and were knowledgeable about types of abuse and how to respond to anallegation of abuse. Residents spoken to confirmed to inspectors that they felt safe inthe centre. The Authority has received no notifications of any allegation, suspectedor confirmed abuse of any resident.Good moving and handling practices were observed throughout the inspectionhowever, the records showed that three staff members had not attended moving andhandling training. Inspectors observed that staff ensured the safety of the moredependent residents by using gait belts when supporting them to mobilise incommunal areas.Measures were in place to prevent accidents and facilitate residents’ mobility,including non-slip floor covering in bathrooms and toilets and hand rails which wereprovided in communal areas to promote independence. Residents were observedmoving around the building during the day using the handrails for support.Article 20: Food and NutritionInspectors were satisfied that residents received a nutritious and varied diet thatoffered choice. Mealtimes were unhurried social occasions that providedopportunities for residents to interact with each other and with staff.Inspectors saw that residents were offered a variety of snacks and drinks throughoutthe day. Jugs with a variety of juices and water were available in common areas andstaff offered drinks to residents on an hourly basis which was recorded in respect ofeach resident.Inspectors observed residents having their midday meal in a bright, relaxedenvironment. Residents said that they enjoyed the food and showed the inspectorsthe menu outlining the choices available.Inspectors saw that residents who needed their food served in an altered consistencysuch as pureed had the same menu options as others and the food was presented inappetising individual portions. Some residents required assistance with their mealand this was provided in a discreet and respectful manner.The mealtime was a relaxed and enjoyable experience for residents. It was served intwo dining rooms, one on the ground floor and another on the first floor. FoodPage 11 of 20
Page 2: About the inspectionThe purpose of
Page 5: Comments by residents and relatives
Page 8 and 9: esidents would be transferred to it
Page 12 and 13: menus were displayed in both areas.
Page 14 and 15: Closing the visitAt the close of th
Page 16 and 17: Action required:Put in place an eme
Page 18 and 19: Please state the actions you have t
Page 20: Any comments the provider may wish

Gallen Priory Nursing Home, 37, inspection report 28 - hiqa.ie

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