A Health Information and Quality Authority report into a Donegal nursing home where seven residents died of flu, has found there was no established procedure to enable early detection of influenza.
The two inspections were carried out by HIQA in early April, after the flu outbreak.
Nine residents died between March 22 and April 8. Seven of these deaths are currently classified as possibly caused by an influenza-related illness.
The purpose of the inspections was to gather evidence on which to make judgments about the fitness of the registered provider and to report on the quality of the service.
The report found that robust communication procedures were not in place and that there was a lack of clarity and accountability about how information on the outbreak had been reported.
It found there was no system to alert professionals to the possibility of an influenza outbreak which created additional risk.
HIQA said there were deficits in aspects of infection prevention and practice, and in areas where supervision was required; hand gels to assist in good infection control management were not readily available and some areas of the premises were not in a satisfactorily clean condition.
The report found a number of polices were not comprehensive and did not provide sufficient guidance for staff.
This includes the infection control procedure and the emergency plan to deal with an outbreak of infectious illness.
The report made a number of recommendations as to how Nazareth House management can address the shortfalls found.