High overall compliance rates across four reports published today by Mental Health Commission
We published four inspection reports today that included one centre, in Tipperary, with a 100% compliance rate.
The Inspector of Mental Health Services, Dr Susan Finnerty, praised the centre for their continued commitment to providing the highest-quality care for residents and in-patients: “This is the second year in a row that Haywood Lodge has secured a 100% rating on our inspection. All of the staff at the centre deserve credit.”
The Chief Executive of the Mental Health Commission, John Farrelly, commended all the centres for their high rates of compliance but warned that a critical risk in a centre in Mayo has to be dealt with quickly.
“All of the centres inspected scored highly and two facilities improved their compliance rate significantly from last year which is encouraging to see. However, one centre did have a critical risk rating which concerned fire safety and the MHC is watching the situation closely to make sure this is addressed promptly.”
The Adult Mental Health Unit, Mayo University Hospital is located on the campus of the hospital. Teams admitting to the approved centre include five general adult community mental health sector teams, two Psychiatry of Old Age community teams, one Rehabilitation and Recovery team and one Mental Health Intellectual Disability team.
The service also has a liaison psychiatry team working directly in the hospital. The centre is located on the ground floor at the back of the hospital in what once had been a maternity ward. It is subdivided into a main ward and a High Dependency Unit.
The centre recorded an overall compliance rate of 92%. This was a significant improvement on its score of 72% in 2020. There were numerous quality initiatives identified on the inspection including input from a physical health nurse, with qualifications in Preventive Cardiology, who was working with staff and residents in the centre. Weekly educational health classes were also provided by the dietitian and physical health nurse to meet identified needs.
Despite this, the inspection identified significant concerns with risk management. As a result, MHC required the service provider to take immediate steps and provide assurances in relation to the safety of residents. Not all health and safety risks were identified, assessed, treated, reported, monitored, and documented within the risk register as appropriate. Damaged fire doors had not been replaced in both the main ward and the High Dependency Unit. Risk management was rated as a critical risk while the regulation related to premises was considered high risk. The service provider responded to the critical risk identified and MHC continues to closely monitor ongoing remedial actions initiated by the provider.
Haywood Lodge is located on the outskirts of Clonmel town, adjacent to South Tipperary General Hospital and St Luke’s Mental Health Services. It opened in 2012 and is a purpose-built 40-bed facility that comprises two units, East and West Houses.
East House provides long-term care and treatment for residents under the care of the psychiatry of later life team. West House provides care and treatment for residents under the care of the rehabilitation and recovery team.
The centre achieved 100% compliance for the second year in a row. The centre provided services in a way that met the needs of residents. Residents in both West and East houses had access to a wide variety of recreational activities. Examples of activities included music; current affairs groups; cookery; knitting; beauty therapy; audio library; relaxation; horticulture; art; walks; chair exercises; reminiscence groups; quizzes; and social outings.
Each resident had a multi-disciplinary care plan which was developed and reviewed in collaboration with the resident. There were clearly defined goals with associated interventions and resourcing in place for each resident.
St. Joseph’s Intellectual Disability Service is located on St Ita’s Campus in Portrane, Co. Dublin and consists of 12 occupied houses and units; eight houses on Knockamann Street and four named houses and units located on campus. The approved centre provides a service for adults who had an intellectual disability and a mental health diagnosis for the Dublin North, Dublin North Central and Dublin North West Community Healthcare Organisation.
The centre achieved a compliance rate of 94% in 2021, the same as in 2020. The centre had two non-compliances relating to risk management and the use of seclusion. Both were rated as moderate risks.
The approved centre distributed weekly activity packs to residents during the COVID-19 pandemic. The packs comprised of arts and crafts activities, baking kits, jigsaws, board games and games that can be played outdoors, books, movie night packs, card making packs to write home to their families and friends, and bird boxes which residents were able to decorate and place in their gardens.
Residents and their families were involved in service planning and delivery. Regular resident community meetings, suggestion boxes, engagement with the complaints process (both formal and informal) and St Joseph’s Self-Advocacy Group were the principal mechanisms evident for resident and carer engagement.
The centre was rolling out a transition plan with a view to further maximise residents’ independence and autonomy by integrating residents from the approved centre into the community with the necessary supports.
St Ita’s Ward is a 20-bed building within the campus of St Brigid’s Hospital in Ardee. However, at the time of inspection, the approved centre operated with facilities to accommodate 10 residents. All residents were accommodated in single bedrooms. All residents are under the care of a single multi-disciplinary team (MDT), which specialises in rehabilitation and recovery.
The centre achieved 97% compliance in 2021 this was a significant improvement on the 77% it recorded in 2020. The centre had only one non-compliance relating to the code of practice on admission, transfer and discharge which was a moderate risk.
Each resident had a multi-disciplinary care plan which was developed and reviewed in collaboration with the resident. There were clearly defined goals with associated interventions and resourcing in place for each resident.
Residents had access to a dining room, a lounge area, and a multi-functional activities room. The garden area had recently been extended and renovated.
You can read our full statement here.
Adult Mental Health Unit, Mayo University Hospital Inspection Report 2021
Haywood Lodge Inspection Report 2021
St. Joseph’s Intellectual Disability Service Inspection Report 2021
