The Health Information and Quality Authority (HIQA) has released 18 inspection reports focusing on thematic inspections of restrictive practices and infection prevention and control in designated centers for individuals with disabilities. These inspections aim to assess and ensure compliance with regulations and standards governing residential services for people with disabilities in Ireland.
Among these reports, 16 pertain to HIQA’s thematic inspections of restrictive practices, which involve the intentional restriction of a person’s voluntary movement or behavior. The inspection program evaluates various forms of restrictive practices and emphasizes enhancing service quality.
Exemplary Care Practices and Infection Prevention and Control Improvements
In all 16 reports, compliance and good practice were observed, with particular attention to promoting residents’ rights, respecting their privacy and dignity, and delivering person-centered care. These centers are operated by various organizations, including the Autism Spectrum Association Of Ireland Company Limited By Guarantee, Avista CLG, Brothers of Charity Services Ireland CLG, Camphill Communities of Ireland, and others.
Quality Practices Highlighted:
- Staff in a center managed by the Autism Spectrum Association Of Ireland CLG received training in a human-rights-based approach to health and social care, leading to increased advocacy for residents.
- Brothers of Charity Services Ireland CLG implemented restrictive practices linked to positive behavior support plans, ensuring residents’ consultation and understanding.
Additionally, two reports focus on infection prevention and control (IPC) inspections, aligned with the National Standards for Infection Prevention and Control in Community Services (2018) published by HIQA. These inspections aim to drive continuous improvement in IPC practices.
Areas Needing Improvement in IPC:
- Inadequate cleaning facilities in certain premises require improvements to meet cleaning standards.
- Issues related to management and stocking of personal protective equipment.
- A need for enhanced water flushing procedures to reduce the risk of waterborne bacteria.
The reports underscore the importance of ensuring that disability centers maintain high standards of care and infection control to protect residents’ health and well-being. HIQA continues to play a crucial role in promoting quality improvement and compliance within these centers.
Resource: HIQA, December 01, 2023
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