Shortcomings at nursing home
Mullinahinch House in Co Monaghan was inspected in December 2009, September 2011, August 2012, July 2013, and last December.
The December visit was unannounced and took place over two days. It uncovered major governance and management issues.
The inspectors issued the care provider with an immediate action plan to ensure the medical and healthcare needs of residents were adequately met.
Inspectors found not enough was being done to prevent and control healthcare associated infections.
Most of the staff failed to carry out adequate hand- hygiene procedures and bedrooms were not cleaned adequately to prevent the spread of infection.
They also found the staffing situation was insufficient to meet the needs of the 55 residents at the home.
In particular, there was evidence of âmajor negative outcomesâ for residents, especially at night.
There was a high-dependency room but inspectors found it did not have enough staff to meet the needs of residents needing 24-hour high-support nursing care.
Resident documentation was incomplete and restraint management was deficient.
The care of residents with nutritional needs was inadequate and inspectors found that residents who refused to eat the main course at lunchtime were not offered the option of an alternative dish.
However, residents told the inspectors they felt safe and were complimentary about the staff who cared for them.
The inspectors were satisfied with the way staff and residents interacted with each other during their visit.
Inspectors also found shortcomings in fire training. They found a fire exit in the dining room was partially blocked by furniture. It was removed immediately.
Mullinahinch House said it would review staffing levels and skill mix. It said its high-dependency unit was now a four-bed unit; all staff have been advised of the importance of hand hygiene; and fire training was up to date.
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