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The Health Information and Quality Authority has published 30 inspection reports of residential centers for the elderly.
They include inspection reports on several nursing homes that were severely affected by Covid-19 in April.
In July, an inspection of the Ryevale nursing home in Leixlip, Co Kildare was carried out following the death of 40 residents due to suspicion of Covid-19.
The report notes that during the outbreak, 69 staff members tested positive for the virus, posing significant staffing challenges for two to three weeks at the peak of the outbreak in the center.
At the time of the inspection, all but two of the staff had recovered from Covid-19 and returned to work.
The report says that while the facility was visibly clean and the decontamination cleanup of frequently touched surfaces was completed twice a day, the person in charge confirmed that no decontamination cleanup of touched surfaces was performed. often between 4 p.m. and 6 a.m.
The report says that the supplier took action on all non-compliance areas identified by inspectors.
In August, HIQA inspected the Marymount Care Center in Westmanstown in Lucan Co Dublin, where 29 residents lost their lives due to Covid-19.
Inspectors found that there were satisfactory staffing levels throughout the outbreak and that the loss of life at the facility had affected staff and administration.
At Larchfield Park Nursing Ltd in Naas, Co Kildare, there was a Covid-19 outbreak that affected residents, staff and families according to HIQA.
There were 64 residents in the center at the beginning of the outbreak. 41 residents tested positive for Covid-19, 20 residents died.
The report notes that during a week in April the service struggled to maintain nursing staffing levels at the center, but managed to maintain “a safe service” with the support of additional staff from the Health Services Executive (HSE) and through the recruitment of agency staff.
In Donegal, inspectors found that staffing changes and staff shortages negatively affected the lives of those living at Mountain Lodge Nursing Home in Letterkenny.
During an unannounced inspection in August, inspectors found that not all bells were answered in a timely manner.
One resident described how a staff member had helped them go to the bathroom and failed to ensure that the ringtone was within reach to alert staff when they had finished using the bathroom.
As a result, the resident waited a long time and when the staff member did not return, they returned to their chair by themselves.
That resident told inspectors that they were nervous about getting around without the help of a staff member and that they felt unsafe.
Other Mountain Lodge Nursing Home residents said they did not feel safe at night because two residents were roaming around at night.
They said these residents were not being supervised and were heading to other residents’ rooms.
Due to staff shortages and low morale among staff members, residents said they felt the need to reassure the remaining staff and encourage them to remain part of the care team.
The report states that residents were genuinely concerned about staff turnover.
HIQA inspectors issued an “immediate action plan for the supplier to increase staffing levels at the facility” and the report says that action was taken accordingly.
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