The Áras Attracta disability centre in Co Mayo is at the centre of fresh criticism over care standards following an unannounced inspection by the Health Information and Quality Authority (Hiqa).
The unit was heavily criticised last December after RTÉ broadcast graphic footage of residents being manhandled and shouted at.
In a follow-up inspection in January this year, inspectors reported largely negative findings over standards across six bungalows, includes “bungalow three” which was at the centre of the documentary.
While there was evidence of some good practice in specific areas of the service, it found significant breaches in care standards across a number of areas.
There was evidence of drugs or chemical restraint being administered on a resident earlier than was planned in order to mitigate staff issues.
In the areas of staffing, inspectors said some residents with significant support needs were left unsupervised which posed a potential risk.
In addition, there was evidence of unsafe medication practices and inspectors intervened on two occasions over a short period to prevent a “near miss occurrence”.
While measures were in place to safeguard residents from harm, inspectors said they were not implemented in all areas.
It gave the example of one staff member who appeared to add distress to a resident with challenging behaviour, despite being asked to allow the resident space.
Inspectors found better standards in three other bungalows, known as unit three.
Again, there was evidence of good practice in relation to areas such as cleanliness, management of medication and access to health care.
However, inspectors found significant breaches of care regulations relating to the safeguarding of residents and protection of their privacy and dignity.
For example, the report says there was a lack of space and privacy, poor access to toilet facilities and risks relating to a lack of staff when overall nurse in charges has to leave her assigned bungalow
For example there were limited opportunities for residents to take part in activities or hobbies and most were found sitting in communal areas for long periods of the day with nothing to do.
Last December, the HSE announced it had commissioned a full “assurance review” of all units at Áras Attracta to ensure quality and safety of all residents.
It also announced an inquiry into care standards. though this is understood to have been paused until An Garda Síochána completes its investigation of abuse allegations .
