Summary of HIQA Inspection Findings in Designated Centres for Older People completed during February to April 2018

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Effective from the 1st of January 2018, Health Information and Quality Authority (HIQA) implemented the use of the Enhanced Authority Monitoring Approach (AMA) to the regulation of designated centres. This approach implemented changes to the inspection report format, which now reflects:

Another enhancement includes the risk-rating of not compliant regulations within the designated centres. The inspection report format is regulation driven rather than the previous template which presented the findings under outcomes.

HCI completed a review of the HIQA inspection reports released between February to April 2018 to highlight the trends in findings within designated centres for older people. A total of forty-three (43) inspection reports were released by HIQA for the period February to April 2018. Out of the of forty-three (43) inspection reports published, twenty-eight (28) (65%) followed the AMA layout, with the remaining fifteen (15) inspection reports having the findings detailed under the outcomes as set out in the National Standards. Out of the twenty-eight (28) inspection reports published using the AMA format, HCI reviewed a total of fifteen (15) (54%) of the inspection reports and their associated findings.

As part of the review, HCI identified trends where improvement was deemed required by HIQA to ensure compliance of designated centres for older people with the regulations. Trends in areas deemed Not Compliant included, but were not limited to:

Good practice was identified in relation to Persons in Charge, Directory of Residents, Visits, End of Life Care, Food and Nutrition and Temporary Absence or Discharge of Residents.

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