Care home rapped over use of restraints

HEALTH inspectors criticised a north Cork nursing home for using restraints on a number of residents for extended periods.

In a report that was otherwise largely positive, Bridhaven Nursing Home in Spa Glen, Mallow, was criticised by inspectors from the Health Information and Quality Authority (HIQA) for using lap belts that residents were unable to open and for which there was no evidence of consent for use.

Inspectors said a staff member informed them restraints were removed every four hours, double the time recommended as best practice. Inspectors also criticised the standard use of “bibs” at meal times for the protection of clothing, saying the practice “may have impinged on the dignity, independence and autonomy of some of the residents”.

Service provider Paul Rochford said Bridhaven was conducting a full review of restraint policies to ensure they complied with standards. “Residents will only be restrained as a last resort and only for the shortest time possible using the minimum means necessary,” Mr Rochford said.

On a positive note, inspectors found the home, which can accommodate 64 residents, looked after the health needs of residents well. Residents were provided with the services of the GP of their choice; there was a physiotherapist directly employed by the centre and a chiropodist visited every six weeks.

The inspectors found that the premises, fittings and equipment were very clean and well maintained. Large well-kept grounds with plenty of seating were available for residents’ and relatives’ use. Overall, the residents and relatives interviewed said they were very happy with the care and accommodation provided.

Separately, a HIQA inspection of the Little Flower nursing home in Ardrahan, Co Galway, found the centre to be well-managed and organised, with up-to-date policies and procedures.

“The centre provided a high standard of person-centred care in a warm and comfortable environment... The atmosphere throughout the centre was homely and relaxed and routines were tailored to meet resident needs,” inspectors said.

However, one area that was found lacking was administration of medication. Inspectors said one of the residents had not swallowed her medication “and this had not been observed by the nurse”. Inspectors also observed that the drug tray was left unattended for a brief period of time. The service provider said they would “ensure that the centre has appropriate and suitable practices relating to the administration of medicines to residents”.