A new survey has found that 85% of private and voluntary nursing home operators are concerned at limited time spent with patients due to form filling and other duties.
Two thirds of these nursing homes say they are concerned at the inconsistent interpretation and application of the National Quality Standards and Regulations.
The report was commissioned by Nursing Homes Ireland, which is the representative organisation for the private and voluntary nursing homes sector.
It currently represents 350 of the 450 private nursing homes in the state.
It examined a sample of 40 published inspection reports, completed since 2009, and a questionnaire available to all private and voluntary nursing homes in Ireland.
The reports highlights that 67% of those surveyed do not think the regulations are interpreted and applied consistently and said this lack of consistency is a significant challenge for HIQA and is one that requires close attention to ensure confidence in the new system.
Of the 29 recommendations outlined, one of the most widely supported is the need to facilitate an independent appeals process.
Staff also highlighted the fact that they have to spend too much time on paperwork and this means less time is available to be spent with residents.
A simple review of forms is enough to solve the problem, otherwise nursing home managers believe smaller operators being forced to close as happened in the UK following the introduction of their inspection regime.