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Connacht Tribune

HIQA questions quality and safety of care at nursing home

Denise McNamara

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Residents with dementia were ordered to sit down, had their cigarettes confiscated and were fed from behind by staff who were found to be ‘disrespectful and inappropriate’ in a litany of adverse findings during an unannounced re-inspection at Corrandulla Nursing Home.

Inspectors from the Health Information and Quality Association (HIQA) visited the home last September following concerns raised to the Office of the Chief Inspector about the capabilities of the management team that were having a direct negative impact on the quality and safety of care.

Inspectors were not satisfied that there were sufficient measures in place to protect the 23 residents living in the home from being harmed or suffering abuse.

“Evidence found during this inspection did substantiate these concerns. Inspectors found that there were inadequate governance and management systems and poor oversight arrangements in place to ensure that the service provided to residents was safe, appropriate, consistent and met regulatory requirements. There continued to be repeated regulatory non-compliances from the previous inspection dated January 2019,” the report stated.

A judgment of “major non-compliance” was found in six of the eight outcomes inspected, which focused on the care and welfare of residents who had dementia. An urgent action plan was issued to the nursing home owner in relation to fire precautions with “immediate and sustained improvements” needed in the other areas to meet the requirements of the Health Act 2007.

The interaction between staff and residents makes for uncomfortable reading.

A resident was told to ‘sit down’ in a tone of voice described as ‘inappropriate’.

Following an altercation between two residents, a staff member asked the resident ‘are you five?’.

One resident had their cigarette supply restricted, even though the person became agitate when they could not smoke.

Residents were assisted with their meals “in an inappropriate, unsafe and disrespectful manner”, the report found.

“Inspectors observed a member of staff assisting a resident with their meal. The resident was lying on their side facing the opposite direction. The resident could not see the person who was feeding them. The only conversation heard by the inspector was the direction ‘open your mouth’.”

During meal times there was minimal interaction by care staff who offered no choice to residents.

“Staff stood in front of residents while assisting them with their meals, rather than sitting next to them. The radio was played at a high volume and was not conducive to a relaxed and social dining experience. Residents were not consulted in relation to what they wished to listen to.”

HIQA criticised the fact there were no activities schedule in place for residents who wished to remain in their bedrooms.

There was a failure to ensure and uphold residents rights’ to privacy and dignity by using CCTV in the communal rooms where residents interacted with their visitors.

Inspectors found staff were not administering medicines in line with guidelines, with doses of prescribed antibiotics omitted and oxygen and fluids given without a valid prescription.

A sample of six residents’ files found that clinical risk assessments had not been completed. Nutritional assessments were calculated using incorrect measurements. One resident who was assessed to be at high risk of developing pressure wounds did not have a skin integrity care plan in place. Another who was reviewed by a dietitian following weight loss did not have the recommendations of the dietitian documented in the nutritional care plan or communicated to the catering team.

Following a meeting, management of the home had agreed to review and update care plans for all residents. They said they had increased staffing levels by 50% which would continue.

Fire training was updated and policy and procedures were reviewed with drill techniques practised on site.

The inspectors found the location of fire equipment was not indicated on the fire floor plans and the fire exit from the unit had moss and no hand rails would could cause a delay in the event of an emergency.

The nursing home was given until the end of December 2019 to address all the issues and will be inspected again to ensure full compliance with the regulations.

Connacht Tribune

Time and history conferred character on this home

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The Hermitage, Ballymoe: on the market with a €425,000 guide price.

The Hermitage at Lisnageeragh, Ballymoe is a property on which time and history has conferred a character that no new property could mirror.

Overlooking 16.3 acres of rolling green fields which are included in the sale, this is indeed a unique house and comes to market with charming well maintained stone buildings. These could provide further family accommodation, holiday rentals or craft studios.

The front hall has a beautiful, curved window and leads to two reception rooms on either side of the house. The sitting room has an open fireplace with a black cast iron surround and wooden floors which gleam from years of care and reflect the light coming from two large windows. To the right-hand side, the dining room also has an attractive bay window and an oil-fired stove and it is indeed the perfect social /entertaining space.

To the rear of the house the kitchen is a classic example of a successful marriage of the old and the new. Bespoke shaker style units combine perfectly with modern recessed lighting, attractive tiling and includes a pantry area to one side. A good-sized bedroom and adjacent bathroom complete the downstairs of the main house.

Upstairs there are four bedrooms one of which has an en suite shower. The main bedroom is a delightful space which leads to another small room, a perfect nursery or walk in wardrobe.

For more, read this week’s Connacht Tribune.

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Connacht Tribune

A time when we learned once more that no man is an island

Francis Farragher

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Country singer Dolly Parton getting the jab: she sang about it and part-funded research on the vaccine.

Country Living with Francis Farragher

One of the oft-repeated pub jokes whenever the price drink was increased, whether it by Finance Ministers or publicans who felt that their margins were being whittled away, was that: “As long as it doesn’t get scarce, we’ll be happy enough.”

Who could have believed though in the first month or two of 2020 that this scenario would unfold (at least in pubs), where the opportunity to meet friends – and the odd ‘auld enemy’ too – over a couple of pints in the local bar would be snatched away from us?

We probably have learned to adapt to the reality of the pandemic and most of us will remember the real sense of fear and constriction that pervaded our every word and action early last year.

2020 was the universal version of ‘annus horribilis’ – the term made famous by Queen Elizabeth in 1992 when royal marriages started to collapse like cards houses in the breeze.

Being of rural stock, I loved the little video earlier this from country music icon, Dolly Parton, who adapted a verse of her famous Jolene song to mark her first shot of the Moderna vaccine (she also donated $1 million to its research) in a very sincere effort to try and encourage the general public to get inoculated.

“Vaccine, vaccine, vaccine, vaccine,

I’m begging of you not to hesitate,

Vaccine, vaccine, vaccine, vaccine,

Cause when you’re dead that’s a bit too late.”

A year before that, times were indeed very strange across Ireland and indeed the world. I remember on the Sunday night before St. Patrick’s Day when a sense of incredulity greeted the news in my own local that ‘a lot of the pubs in Galway city were closing down’. Surely, this couldn’t happen in our own little watering hole in the sticks, but it did.

Michael Karmen’s soundtrack from the Band of Brothers series – a wonder piece of music even to my untrained ear – will always remind me of that early Spring period of lockdown in 2020.

For more, read this week’s Connacht Tribune.

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The Connacht Tribune Live app is the home of everything that is happening in Galway City and county. It’s completely FREE and features all the latest news, sport and information on what’s on in your area. Click HERE to download it for iPhone and iPad from Apple’s App Store, or HERE to get the Android Version from Google Play.

 

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€4.5m worth of property sold during online event

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This detached house at Seacrest in Knocknacarra attracted a "staggering" level of interest.

More than €4.5 million worth of sales were recorded at the O’Donnellan & Joyce auction last week, where 350 people had pre-registered to bid on the 40 properties which went under the hammer.

80% of the properties sold during the auction or following negotiations immediately afterwards.

Among the properties sold at the auction were:

106 Seacrest, Knocknacarra, Galway. Guiding at €250,000 due to the extent of renovation and upgrade works required, the auctioneers were staggered at the level of interest in this 4-bed detached house.

Siobhra Hennessy, Senior Auction Co-Ordinator, said: “There is an increasing demand for city centre homes in need of repair. Couples want to put their own stamp on a property and often look for properties similar to this.”

Bidding commenced at €250,000 but quickly rose to over €350,000. After intense bidding from a number of internet and telephone bidders, the sale price of €364,000 was reached and the deal was done.

192 Bohermore, Galway. A 2-bed terraced house which attracted great attention, with many enquiries and bidders pre-registering. The house needs complete restoration and modernisation works but obviously appealed to a wide audience. It guided at €120,000, but sold for €179,000, despite the great amount of work required. Again, this is an example of a near-derelict building that offered great potential.

For more, read this week’s Connacht Tribune.

Connacht Tribune Digital Edition App

Download the Connacht Tribune Digital Edition App to access to Galway’s best-selling newspaper.

Click HERE to download it for iPhone and iPad from Apple’s App Store, or HERE to get the Android Version from Google Play.

Or purchase the Digital Edition for PC, Mac or Laptop from Pagesuite  HERE.

Get the Connacht Tribune Live app
The Connacht Tribune Live app is the home of everything that is happening in Galway City and county. It’s completely FREE and features all the latest news, sport and information on what’s on in your area. Click HERE to download it for iPhone and iPad from Apple’s App Store, or HERE to get the Android Version from Google Play.

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