TWO incidents of alleged abusive interactions and the temporary disappearance of a resident were among the issues covered by a HIQA inspection report on Cobh Community Hospital.
Other issues at the facility included the secure press for the storage of controlled drugs was not solely used for this purpose, the storage of two incontinence pads in a locked press in the office which contained electrical equipment — thus presenting a fire risk — and the sluice room being found unlocked.
There were 38 residents at the 44 person capacity hospital when the unannounced inspection took place on October 31 last year. It was undertaken by HIQA to follow up on non-compliance issues found in previous inspections.
They were found to be non-compliant in ten of 25 areas examined, in the report released yesterday.
Inspectors found issues such as complaints and incidents not being treated meant there was no obvious learning from incidents. The report states that there were three similar incidents in the dining room within a short period of time.
Meanwhile, risks were found not to be adequately assessed and controlled, while there were issues with the medicines and pharmaceutical services at the facility.
Medicines no longer in use were not all returned to the pharmacy, while not all staff had signed when administering medication. There were also loose bottles of PRN medicines stored on the door of the medicine trolley which had not been included in the audit.
Residents, when asked by inspectors, however, said they were happy in the facility.
Meanwhile, Midleton Community Hospital, which has a “history of significant regulatory non-compliance” was also visited by HIQA inspectors on October 18. The facility was found to be non-compliant in nine of 24 areas surveyed.
There were staffing issues, and problems found with governance and management. Infection control was another issue, with HIQA finding the centre was not sufficiently clean, some of which was due to just one staff member being designated with cleaning duties.
Meanwhile, the kitchenette in the back building was seen to be unclean which, according to the report, was a repeat finding. “Rust was noted on parts of the sink and the floor behind the water dispenser was ingrained with dirt”.
Comprehensive care plans were not in place for responsive behaviour management in residents with dementia, while privacy and dignity were lacking for some residents in multi-occupancy rooms.
HIQA does note that there are plans in place for a new centre