The level of regulatory compliance at a Monaghan nursing home deteriorated between inspections according to a new report.
An unannounced inspection was carried out at Castleross Nursing Home in Carrickmacross. Castleross nursing home is a purpose-built premises which can accommodate up to 125 residents. Residents are accommodated in four individual houses: Lisdoonan, Broomfield, Creevy and Killanny. Management have adopted the ‘household model’ of care which primarily is based on the principles of home life Each household is individually staffed and includes a homemaker whose responsibility is to create a homely environment through normal daily kitchen activities and provide a warm welcome to all who pass through. The inspector observed that staff interactions with residents was kind, caring, and patient
According to HIQA, the level of regulatory compliance at the centre had deteriorated despite the governance and management arrangements in the centre remaining stable. On the day of inspection, one unit in the centre did not have access to hot water and staff did not have access to a shower trolley to assist maximum dependent residents to have a shower. The provider's response provided assurances that the hot water issue was rectified, and increased checks have been introduced. A shower trolley is also now available
Another non-compliance was noted in the area of care plans. Inspectors found that the hygiene section of care plans were not person-centred in respect of the residents in one of the four units. These sections were of a 'poor quality' and the plans reviewed indicated that some residents had not been offered or had a bath or shower for two or more weeks. In its response to the report, the centre pointed out that any 'shower list' was used to mark showers completed, not to schedule them. They say they've introduced weekly audits to ensure residents are being offered showers as per their preferences, and all care plans have been reviewed and updated. The centre was compliant or substantially compliant in all other areas of inspection.
