Acute Mental Health Unit, Cork University Hospital

Size: px
Start display at page:

Download "Acute Mental Health Unit, Cork University Hospital"

Transcription

1 Acute Mental Health Unit, Cork University Hospital ID Number: AC Approved Centre Inspection Report (Mental Health Act 2001) Acute Mental Health Unit Cork University Hospital Wilton Cork Conditions Attached: None Approved Centre Type: Acute Adult Mental Health Care Psychiatry of Later Life Registered Proprietor: HSE Most Recent Registration Date: 4 February 2015 Registered Proprietor Nominee: Ms Sinead Glennon, Head of Mental Services Cork & Kerry Inspection Team: Siobhán Dinan, Lead Inspector Orla O Neill Marianne Griffiths Donal O Gorman Inspection Date: May 2017 Inspection Type: Unannounced Annual Inspection Previous Inspection Date: 8 10 November 2016 The Inspector of Mental Health Services: Dr Susan Finnerty MCRN Date of Publication: 28 September 2017 COMPLIANCE RATINGS REGULATIONS RULES AND PART 4 OF THE MENTAL HEALTH ACT CODES OF PRACTICE 1 Compliant Non-compliant Not applicable

2 RATINGS SUMMARY Compliance ratings across all 41 areas of inspection are summarised in the chart below. Chart 1 Comparison of overall compliance ratings Not applicable Non-compliant Compliant Where non-compliance is determined, the risk level of the non-compliance will be assessed. Risk ratings across all non-compliant areas are summarised in the chart below. Chart 2 Comparison of overall risk ratings Low Moderate High Critical AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 2 of 95

3 Contents 1.0 Introduction to the Inspection Process Inspector of Mental Health Services Summary of Findings Quality Initiatives Overview of the Approved Centre Description of approved centre Conditions to registration Reporting on the National Clinical Guidelines Governance Compliance Non-compliant areas from 2016 inspection Non-compliant areas on this inspection Areas of compliance rated Excellent on this inspection Service-user Experience Interviews with Heads of Discipline Feedback Meeting Inspection Findings Regulations Inspection Findings Rules Inspection Findings Mental Health Act Inspection Findings Codes of Practice Appendix 1 Corrective and Preventative Action Plan AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 3 of 95

4 1.0 Introduction to the Inspection Process The principal functions of the Mental Health Commission are to promote, encourage and foster the establishment and maintenance of high standards and good practices in the delivery of mental health services and to take all reasonable steps to protect the interests of persons detained in approved centres. The Commission strives to ensure its principal legislative functions are achieved through the registration and inspection of approved centres. The process for determination of the compliance level of approved centres against the statutory regulations, rules, Mental Health Act 2001 and codes of practice shall be transparent and standardised. Section 51(1)(a) of the Mental Health Act 2001 (the 2001 Act) states that the principal function of the Inspector shall be to visit and inspect every approved centre at least once a year in which the commencement of this section falls and to visit and inspect any other premises where mental health services are being provided as he or she thinks appropriate. Section 52 of the 2001 Act states that, when making an inspection under section 51, the Inspector shall a) See every resident (within the meaning of Part 5) whom he or she has been requested to examine by the resident himself or herself or by any other person. b) See every patient the propriety of whose detention he or she has reason to doubt. c) Ascertain whether or not due regard is being had, in the carrying on of an approved centre or other premises where mental health services are being provided, to this Act and the provisions made thereunder. d) Ascertain whether any regulations made under section 66, any rules made under section 59 and 60 and the provision of Part 4 are being complied with. Each approved centre will be assessed against all regulations, rules, codes of practice, and Part 4 of the 2001 Act as applicable, at least once on an annual basis. Inspectors will use the triangulation process of documentation review, observation and interview to assess compliance with the requirements. Where noncompliance is determined, the risk level of the non-compliance will be assessed. The Inspector will also assess the quality of services provided against the criteria of the Judgement Support Framework. As the requirements for the rules, codes of practice and Part 4 of the 2001 Act are set out exhaustively, the Inspector will not undertake a separate quality assessment. Similarly, due to the nature of Regulations 28, 33 and 34 a quality assessment is not required. Following the inspection of an approved centre, the Inspector prepares a report on the findings of the inspection. A draft of the inspection report, including provisional compliance ratings, risk ratings and quality assessments, is provided to the registered proprietor of the approved centre. Areas of inspection are deemed to be either compliant or non-compliant and where non-compliant, risk is rated as low, moderate, high or critical. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 4 of 95

5 COMPLIANCE, QUALITY AND RISK RATINGS The following ratings are assigned to areas inspected. COMPLIANCE RATINGS are given for all areas inspected. QUALITY RATINGS are given for all regulations, except for 28, 33 and 34. RISK RATINGS are given for any area that is deemed non-compliant. COMPLIANCE QUALITY RISK COMPLIANT EXCELLENT SATISFACTORY LOW NON- COMPLIANT REQUIRES IMPROVEMENT INADEQUATE MODERATE HIGH CRITICAL The registered proprietor is given an opportunity to review the draft report and comment on any of the content or findings. The Inspector will take into account the comments by the registered proprietor and amend the report as appropriate. The registered proprietor is requested to provide a Corrective and Preventative Action (CAPA) plan for each finding of non-compliance in the draft report. Corrective actions address the specific non-compliance(s). Preventative actions mitigate the risk of the non-compliance reoccurring. CAPAs must be specific, measurable, realistic, achievable and time-bound (SMART). The approved centre s CAPAs are included in the published inspection report, as submitted. The Commission monitors the implementation of the CAPAs on an ongoing basis and requests further information and action as necessary. If at any point the Commission determines that the approved centre s plan to address an area of noncompliance is unacceptable, enforcement action may be taken. In circumstances where the registered proprietor fails to comply with the requirements of the 2001 Act, Mental Health Act 2001 (Approved Centres) Regulations 2006 and Rules made under the 2001 Act, the Commission has the authority to initiate escalating enforcement actions up to, and including, removal of an approved centre from the register and the prosecution of the registered proprietor. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 5 of 95

6 2.0 Inspector of Mental Health Services Summary of Findings Inspector of Mental Health Services Dr Susan Finnerty As Inspector of Mental Health Services, I have provided a summary of inspection findings under the headings below. This summary is based on the findings of the inspection team under the regulations and associated Judgement Support Framework, rules, Part 4 of the Mental Health Act 2001, codes of practice, service user experience, staff interviews and governance structures and operations, all of which are contained in this report. Safety in the approved centre The approved centre had a written policy in relation to health and safety, and a safety statement. There were comprehensive risk management policies and processes in place. The person-specific resident identifiers in use in the approved centre consisted of wristbands with details of each resident s name, address, date of birth, and medical record number. Food safety audits had been completed and hygiene was maintained to support food safety. Catering areas and associated equipment were appropriately cleaned. There were a number of prescription, administration and storage of medication errors. Not all health care professional were up to date with their training in fire safety, Basic Life Support, Professional Management of Aggression and Violence, and the Mental Health Act At the time of the inspection, the high observation area was not functioning as such and was used for general admission beds. AREAS REFERRED TO Regulations 4, 6, 22, 23, 24, 26, 32, Rule Governing the Use of Seclusion, Code of Practice on the Use of Physical Restraint, the Rule and Code of Practice on the Use of ECT, service user experience, and interviews with staff. Appropriate care and treatment of residents Of concern was that six residents did not have an individual care plan (ICP) and not all ICPs identified the necessary resources or specified appropriate goals for the residents. Not all residents were aware of their individual care plan. There was a wide range of therapeutic services and programmes facilitated by an activities nurse, psychology staff, an art therapist, and community voluntary organisations. Although residents received appropriate general health care as indicated in their individual care plans, one resident had not received a six-monthly general health check. There was no system for organising six-monthly physicals, and records of residents completed health checks and the associated results were not consistently maintained. Clinical files were in poor condition. Almost all of the clinical files in question contained loose pages and investigation/test reports, undated individual care plans and misfiled documents. Records were not maintained in a logical sequence and two appropriate resident identifiers were not recorded on all documentation. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 6 of 95

7 The approved centre was compliant with Part 4 of the Mental Health Act 2001: Consent to Treatment. AREAS REFERRED TO Regulations 5, 14, 15, 16, 17, 18, 19, 23, 25, 27, Part 4 of the Mental Health Act 2001, Rule Governing the Use of Seclusion and Mechanical Means of Bodily Restraint, Rule Governing the Use of ECT, Code of Practice on Physical Restraint, Code of Practice on the Admission of Children, Code of Practice on the Guidance for Persons working in Mental Health Services with People with Intellectual Disabilities, Code of Practice on Admission, Transfer and Discharge, service user experience, and interviews with staff. Respect for residents privacy and dignity Residents could bring personal possessions into the approved centre and were supported to manage their own property. All residents had an adequate supply of individualised clothing, and each had a large lockable wardrobe and bedside locker for the storage of clothing and belongings. Residents consent to a search was sought and searches were attended by at least two clinical staff and implemented with due regard to the resident s dignity, privacy and gender. Residents were informed by those implementing the search of what was happening and why. End of life care was appropriate to the resident s physical, emotional, social, psychological, and spiritual needs. Bathrooms, showers, toilets, and single rooms had locks on the inside of the doors. Most of the accommodation comprised single, en suite rooms. The approved centre s internal courtyard was overlooked by nearby houses. This was an ongoing concern since the 2016 inspection. The inspection team was informed that the estates department intended to erect privacy screening to address the issue. Residents were facilitated in making and taking private phone calls. There was prominent signage indicating where CCTV cameras were located. Residents were monitored solely for the purposes of ensuring their health, safety, and welfare by a healthcare professional. Cameras were incapable of recording or storing a resident s image in any format. Seclusion was not used in the approved centre. AREAS REFERRED TO Regulations 7, 8, 13, 14, 21, 25, Rule Governing the Use of Seclusion, Code of Practice on Physical Restraint, Code of Practice on the Guidance for Persons working in Mental Health Services with People with Intellectual Disabilities, service user experience, and interviews with staff. Responsiveness to residents needs Residents were complimentary about the care received from the nursing staff and the food provided by the approved centre. Food, including modified consistency diets, was presented in an appealing manner and was wholesome and nutritious food choices. There was a lack of laundry facilities for residents who did not have visitors to take home their laundry. There was excellent provision of recreational activities during the week and at weekends. Information about recreational activities was provided to residents via notices and timetables posted up throughout the approved centre and activities were developed, maintained, and implemented with resident involvement. There was a chapel in the general hospital, which residents could visit weekly. Residents also had access to multi-faith chaplains. There were three separate, dedicated visitors rooms where residents could meet visitors in private. Residents had access to external communications, including telephone, mail, fax, , and Internet. Required information was given to residents and/or their representatives at admission in the form of a resident information booklet. Diagnosisand medication-related information, including risks and potential side-effects, was readily available, and medication leaflets were in an easy-to-read, uncomplicated, and user-friendly format. A new information AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 7 of 95

8 leaflet had been developed for family members of residents explaining the admission process, confidentiality, and available support services. There was a robust and well-advertised complaints procedure in place. The approved centre s physical environment was of a high standard and there was a documented programme of general maintenance. A daily cleaning schedule was in place. AREAS REFERRED TO Regulations 5, 9, 10, 11, 12, 20, 22, 30, 31, Code of Practice on the Guidance for Persons working in Mental Health Services with People with Intellectual Disabilities, service user experience, and interviews with staff. Governance of the approved centre The approved centre was part of the HSE s Community Healthcare Organisation 4 area. The governance structures included an area executive management team, a local Acute Mental Health Unit management team, a quarterly incident review committee, and a quality initiatives and audit committee. The minutes of executive management team meetings provided outlined an active governance process. Both individual and operational risks were monitored. There was an organisational chart to identify the leadership and management structure and lines of authority and accountability. Each clinical discipline had its own governance structure, with clear line management and supervision. Management and staff of the approved centre had an annual audit plan. There was evidence from the audit reports that the approved centre was collecting and analysing data to identify opportunities for improvement. Operating policies and procedures, which incorporated relevant legislation, evidence-based best practice, and clinical guidelines, were communicated to all relevant staff. Not all policies and procedures required by the regulations had been reviewed at least every three years. AREAS REFERRED TO Regulations 26 and 32, interviews with heads of discipline, and minutes of area management team meetings. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 8 of 95

9 3.0 Quality Initiatives The following quality initiatives were identified on this inspection: 1. A new information leaflet had been developed for family members of residents explaining the admission process, confidentiality, and available support services. 2. A dual diagnosis group had been developed and took place weekly in the approved centre. 3. A multi-disciplinary team had been established to work with individuals with emotionally unstable personality disorder. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 9 of 95

10 4.0 Overview of the Approved Centre 4.1 Description of approved centre The Acute Mental Health Unit (AMHU) was well signposted and located towards the rear of the Cork University Hospital campus in Wilton, Cork city. This purpose-built, free-standing, two-storey building opened in August The approved centre comprised of three units; the acute male unit, the acute female unit and the Psychiatry of Later Life (POLL) unit. The acute male and female admission units, each with 18 beds, were located on the ground floor alongside an additional six-bed high observation area. At the time of the inspection, the high observation area was not functioning as such: The six beds were being used as additional beds for the admissions unit. The admissions unit was configured into 21 male and 21 female beds. The eight-bed Psychiatry of Later Life (POLL) unit was located on the first floor alongside administration offices and therapy rooms. Visitors entered the premises via a large reception area where there was a reception desk staffed 24 hours a day by HSE security personnel. The entrance doors to the individual units were locked, and access was via keypad or by staff releasing the electronic door mechanism. The link corridor between the reception hallway and the admissions unit contained interview rooms and three visitors rooms. Six general adult sector teams and two POLL teams admitted residents to the AMHU. The resident profile on the first day of inspection was as follows: Resident Profile Number of registered beds 50 Total number of residents 49 Number of detained patients 16 Number of Wards of Court 0 Number of children 0 Number of residents in the approved centre for more than 6 months Conditions to registration There were no conditions attached to the registration of this approved centre at the time of inspection. 4.3 Reporting on the National Clinical Guidelines The service reported that it was cognisant of and implemented, where indicated, the National Clinical Guidelines as published by the Department of Health. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 10 of 95

11 4.4 Governance The approved centre was part of the HSE s Community Healthcare Organisation 4 area. The approved centre had established governance mechanisms in place. The governance structures included an area executive management team, a local AMHU management team, a quarterly incident review committee, and a quality initiatives and audit committee. The minutes of meetings for these committees were provided to the inspection team. The minutes of executive management team meetings provided outlined an active governance process. Both individual and operational risks were monitored. The minutes demonstrated an action-oriented focus with clear time lines. Ongoing constraints on staff recruitment meant that staff vacancies and the provision of services were the main priorities on the agenda at each area management team meeting. There was an organisational chart to identify the leadership and management structure and lines of authority and accountability. Each clinical discipline had its own governance structure, with clear line management and supervision. Management and staff of the approved centre had an annual audit plan. There was evidence from the audit reports that the approved centre was collecting and analysing data to identify opportunities for improvement. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 11 of 95

12 5.0 Compliance 5.1 Non-compliant areas from 2016 inspection The previous inspection of the approved centre on 8 10 November 2016 identified the following areas that were not compliant. The approved centre was requested to provide Corrective and Preventative Actions (CAPAs) for areas of non-compliance and these were published with the 2016 inspection report. Regulation/Rule/Act/Code 2017 Inspection Findings Regulation 7: Clothing Compliant Regulation 15: Individual Care Plan Non-Compliant Regulation 21: Privacy Non-Compliant Regulation 23: Ordering, Prescribing, Storing and Administration of Non-Compliant Medicines Regulation 26: Staffing Non-Compliant Regulation 27: Maintenance of Records Non-Compliant Regulation 28: Register of Residents Non-Compliant Code of Practice on the Use of Physical Restraint in Approved Centres Non-Compliant Code of Practice Guidance for Persons Working in Mental Health Services Non-Compliant with People with Intellectual Disabilities Code of Practice on Admission, Transfer and Discharge to and from an Non-Compliant Approved Centre AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 12 of 95

13 5.2 Non-compliant areas on this inspection Non-compliant (X) areas on this inspection are detailed below. Also shown is whether the service was compliant () or non-compliant (X) in these areas in 2016 and 2015: Regulation/Rule/Act/Code 2015 Compliance 2016 Compliance 2017 Compliance Regulation 15: Individual Care Plan X X X Regulation 19: General Health X Regulation 21: Privacy X X X Regulation 23: Ordering, Prescribing, Storing and X X X Administration of Medicines Regulation 26: Staffing X X Regulation 27: Maintenance of Records X X X Regulation 28: Register of Residents X X X Regulation 29: Operating Policies and Procedures X Code of Practice on the Use of Physical Restraint in Approved Centres Code of Practice Guidance for Persons Working in Mental Health Services with People with Intellectual Disabilities Code of Practice on Admission, Transfer and Discharge to and from an Approved Centre X X X X X X X The approved centre was requested to provide Corrective and Preventative Actions (CAPAs) for areas of noncompliance. These are included in Appendix 1 of the report. 5.3 Areas of compliance rated Excellent on this inspection The following areas were rated excellent on this inspection: Regulation Regulation 4 : Identification of Residents Regulation 7: Clothing Regulation 9: Recreational Activities Regulation 10: Religion AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 13 of 95

14 6.0 Service-user Experience The Inspector gives emphasis to the importance of hearing the service users experience of the approved centre. To that end, the inspection team engaged with residents in a number of different ways: The inspection team informally approached residents and sought their views on the approved centre. Posters were displayed inviting the residents to talk to the inspection team. Leaflets were distributed in the approved centre explaining the inspection process and inviting residents to talk to the inspection team. Set times and a private room were available to talk to residents. In order to facilitate residents who were reluctant to talk directly with the inspection team, residents were also invited to complete a service user experience questionnaire and give it in confidence to the inspection team. This was anonymous and used to inform the inspection process. The Irish Advocacy Network (IAN) representative was contacted to obtain residents feedback about the approved centre. All those that provided feedback to the inspection team gave permission that their experience could be fed back to the senior management team. The information was used to give a general picture of residents experience of the approved centre as outlined below. Two residents and a family member of a resident provided feedback to the inspection team. All were complimentary about the care received from the nursing staff and the food provided by the approved centre. Staff were described as patient, kind, and helpful. It was felt that the visitors room in the Psychiatry of Later Life unit was uninviting and therefore not used often. Residents were invited to complete a questionnaire about their experience in the Acute Mental Health Unit. One questionnaire was returned. Not all residents were aware of their individual care plan (ICP). The inspection team also met with a representative of the Irish Advocacy Network (IAN). The IAN representative noted some issues relating to the lack of laundry facilities for residents who do not have visitors to take home their laundry. The IAN representative provided feedback that they had previously received from residents that there was a need for a better selection of activities in the acute unit and that activity programmes were repeated, leading to boredom amongst more long-term residents. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 14 of 95

15 7.0 Interviews with Heads of Discipline The inspection team sought to meet with heads of discipline during the inspection. The inspection team met with the following individuals: Clinical Director Area Director of Nursing Occupational Therapy Manager Principal Psychologist Social Work Manager All clinical heads of discipline made themselves available to speak with the inspectors. Representatives from nursing, medical, social work, occupational therapy, and psychology each provided a clear overview of the governance within their respective departments. The Area Director of Nursing visited the approved centre on a regular basis. The clinical director was based in the approved centre and was on site daily. The Occupational Therapy Manager, Principal Psychologist and Social Work Manager had no direct input to the approved centre. Defined lines of responsibility were evident in each department. Consequently, staff supervision was facilitated within the departments and regular meetings were scheduled with staff to ensure that they were adequately supported. All heads of discipline identified strategic aims for their teams and discussed potential operational risks with their departments. These were agenda items at senior management meetings. Key performance indicators assisted the organisation to measure how well it was doing in relation to achieving goals. None of the disciplines operated staff performance review appraisals. Clear systems were in place to support quality improvement. Service user input was facilitated by engagement with advocacy within the approved centre. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 15 of 95

16 8.0 Feedback Meeting A feedback meeting was facilitated prior to the conclusion of the inspection. This was attended by the inspection team and the following representatives of the service: Clinical Director Area Director of Nursing Assistant Director of Nursing x 2 Occupational Therapy Manager Principal Social Worker Compliance and Regulations Officer Clinical Nurse Manager 3 Clinical Nurse Manager 2 x 3 Area Administrator Apologies were received on behalf of the registered proprietor nominee and the principal psychologist. The inspection team outlined the initial findings of the inspection process and provided the opportunity for the service to offer any corrections or clarifications deemed appropriate. A number of clarifications were provided regarding various issues that had arisen during the course of this inspection, and these are incorporated into this report. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 16 of 95

17 9.0 Inspection Findings Regulations EVIDENCE OF COMPLIANCE WITH REGULATIONS UNDER MENTAL HEALTH ACT 2001 SECTION 52 (d) The following regulations are not applicable Regulation 1: Citation Regulation 2: Commencement and Regulation Regulation 3: Definitions AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 17 of 95

18 Regulation 4: Identification of Residents COMPLIANT Quality Rating Excellent The registered proprietor shall make arrangements to ensure that each resident is readily identifiable by staff when receiving medication, health care or other services. INSPECTION FINDINGS Processes: The approved centre had a written policy in relation to the identification of residents, which was last reviewed in October It included all of the requirements of the Judgement Support Framework. Training and Education: Relevant staff had signed a log indicating that they had read and understood the policy. Relevant staff interviewed were able to articulate the processes for identifying residents, as set out in the policy. Monitoring: An annual audit had been undertaken to ensure that clinical files contained appropriate resident identifiers. Analysis had been completed to identify opportunities for improving the resident identification process. Evidence of Implementation: The person-specific resident identifiers in use in the approved centre consisted of wristbands with details of each resident s name, address, date of birth, and medical record number. The identifiers, which were appropriate to residents communication abilities, were used before the administration of medication, the undertaking of medical investigations, and the provision of health care services and therapeutic services and programmes. A caution sticker system was in place to alert staff to the presence of residents with the same or a similar name. The approved centre was compliant with this regulation. The quality assessment was rated excellent because the approved centre met all criteria of the Judgement Support Framework. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 18 of 95

19 Regulation 5: Food and Nutrition COMPLIANT Quality Rating Satisfactory (1) The registered proprietor shall ensure that residents have access to a safe supply of fresh drinking water. (2) The registered proprietor shall ensure that residents are provided with food and drink in quantities adequate for their needs, which is properly prepared, wholesome and nutritious, involves an element of choice and takes account of any special dietary requirements and is consistent with each resident's individual care plan. INSPECTION FINDINGS Processes: The approved centre had a written policy in relation to the provision of appropriate food and nutrition to residents, which was last reviewed in February It included all of the requirements of the Judgement Support Framework. Training and Education: All relevant staff had not signed a log indicating that they had read and understood the policy. Relevant staff interviewed were able to articulate the processes for food and nutrition, as set out in the policy. Monitoring: A systematic review of menu plans had been undertaken to ensure that residents received wholesome and nutritious food in accordance with their needs. Analysis had been completed to identify opportunities for improving the processes for food and nutrition. Evidence of Implementation: Menus were nutritionally analysed by a nutritionist/dietician to ensure nutritional adequacy in accordance with residents needs. Food, including modified consistency diets, was presented in an appealing manner. Residents were provided with a wide range of wholesome and nutritious food choices, and hot meals were provided on a daily basis. Residents had regular access to hot and cold drinks and to a source of safe, fresh drinking water. Weight charts were implemented, monitored, and acted upon, where required. Residents, their representatives, family, and next of kin were educated about residents diets, where appropriate. The needs of residents identified as having special nutritional requirements were regularly reviewed by a nutritionist. Nutritional and dietary needs were assessed, where necessary, and addressed in the resident s individual care plan. The approved centre did not use an evidence-based nutrition tool to assess residents with special dietary requirements. The approved centre was compliant with this regulation. The quality assessment was satisfactory and not rated excellent because the approved centre did not meet all criteria of the Judgement Support Framework under the training and education and evidence of implementation pillars. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 19 of 95

20 Regulation 6: Food Safety COMPLIANT Quality Rating Satisfactory (1) The registered proprietor shall ensure: (a) the provision of suitable and sufficient catering equipment, crockery and cutlery (b) the provision of proper facilities for the refrigeration, storage, preparation, cooking and serving of food, and (c) that a high standard of hygiene is maintained in relation to the storage, preparation and disposal of food and related refuse. (2) This regulation is without prejudice to: (a) the provisions of the Health Act 1947 and any regulations made thereunder in respect of food standards (including labelling) and safety; (b) any regulations made pursuant to the European Communities Act 1972 in respect of food standards (including labelling) and safety; and (c) the Food Safety Authority of Ireland Act INSPECTION FINDINGS Processes: The approved centre had a written policy in relation to food safety, which was last reviewed in February It included all of the requirements of the Judgement Support Framework. Training and Education: All relevant staff had not signed a log indicating that they had read and understood the policy. Relevant staff interviewed could articulate the processes for food safety, as set out in the policy. All staff handling food had up-to-date training in the application of Hazard Analysis and Critical Control Point (HACCP). The training was documented. Monitoring: Food safety audits had been completed. Food temperatures were in line with food safety recommendations, and a temperature log sheet was maintained and monitored. Analysis had been completed to identify opportunities for improving food safety processes. Evidence of Implementation: Appropriate hand-washing areas were provided for catering services, and there was suitable catering equipment, with appropriate facilities for the refrigeration, storage, preparation, cooking, and serving of food. Hygiene was maintained to support food safety, and catering areas and associated equipment were appropriately cleaned. Residents had access to a supply of suitable crockery and cutlery, which addressed their specific needs. The approved centre was compliant with this regulation. The quality assessment was satisfactory and not rated excellent because the approved centre did not meet all criteria of the Judgement Support Framework under the training and education pillar. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 20 of 95

21 Regulation 7: Clothing COMPLIANT Quality Rating Excellent The registered proprietor shall ensure that: (1) when a resident does not have an adequate supply of their own clothing the resident is provided with an adequate supply of appropriate individualised clothing with due regard to his or her dignity and bodily integrity at all times; (2) night clothes are not worn by residents during the day, unless specified in a resident's individual care plan. INSPECTION FINDINGS Processes: The approved centre had a written policy in relation to clothing, which was last reviewed in February It included all of the requirements of the Judgement Support Framework. Training and Education: Relevant staff had signed a log indicating that they had read and understood the policy on clothing. Relevant staff interviewed could articulate the processes in relation to residents clothing, as set out in the policy. Monitoring: An emergency supply of clothing for residents was maintained in the property room and monitored by the clinical nurse manager 2 on an ongoing basis. A record of residents wearing nightclothes during the day was maintained and monitored. At the time of the inspection, one resident had been prescribed night attire during the day. Evidence of Implementation: Residents were supported to keep and wear their personal clothing, and residents clothing was observed to be clean and appropriate to their needs. Residents clothing was sent home to family members or to the launderette for cleaning. An emergency supply of clothing was available, which took account of the residents preferences, dignity, bodily integrity, and religious and cultural practices. Residents changed out of nightclothes during the day, unless otherwise specified in their individual care plan (ICP). All residents had an adequate supply of individualised clothing, and each had a large lockable wardrobe and bedside locker for the storage of clothing and belongings. The approved centre was compliant with this regulation. The quality assessment was rated excellent because the approved centre met all criteria of the Judgement Support Framework. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 21 of 95

22 Regulation 8: Residents Personal Property and Possessions COMPLIANT Quality Rating Satisfactory (1) For the purpose of this regulation "personal property and possessions" means the belongings and personal effects that a resident brings into an approved centre; items purchased by or on behalf of a resident during his or her stay in an approved centre; and items and monies received by the resident during his or her stay in an approved centre. (2) The registered proprietor shall ensure that the approved centre has written operational policies and procedures relating to residents' personal property and possessions. (3) The registered proprietor shall ensure that a record is maintained of each resident's personal property and possessions and is available to the resident in accordance with the approved centre's written policy. (4) The registered proprietor shall ensure that records relating to a resident's personal property and possessions are kept separately from the resident's individual care plan. (5) The registered proprietor shall ensure that each resident retains control of his or her personal property and possessions except under circumstances where this poses a danger to the resident or others as indicated by the resident's individual care plan. (6) The registered proprietor shall ensure that provision is made for the safe-keeping of all personal property and possessions. INSPECTION FINDINGS Processes: The approved centre had a written policy in relation to residents personal property and possessions, which was last reviewed in October It included requirements of the Judgement Support Framework, with the exception of the process for allowing residents to have access to and control over their personal property, unless this posed a danger to the resident or others, as indicated in their individual care plans (ICPs), following a risk assessment. Training and Education: Relevant staff had signed a log indicating that they had read and understood the policy. Relevant staff interviewed could articulate the processes relating to residents property and possessions, as set out in the policy. Monitoring: The approved centre monitored personal property logs. Analysis was completed to identify opportunities to improve the processes for residents personal property and possessions. This is documented. Evidence of Implementation: Residents could bring personal possessions into the approved centre and were supported to manage their own property, unless this posed a danger to themselves or others, as indicated in their ICPs. All residents personal property and possessions were recorded and signed for by both staff and the residents. The approved centre had a duplicate property log book and residents were given copies of their property logs. Residents wardrobes had code-enabled locking mechanisms, which allowed residents to store personal property, safely and securely. There was also a safe in the nurses station where residents could secure money, although residents were encouraged to limit the amount of money they brought in to the approved centre. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 22 of 95

23 Two members of staff oversaw the process of providing residents with access to their monies, and signed records of staff issuing the money were retained and, where possible, countersigned by the resident or their representative. Residents individual property checklists were kept separately from their ICPs. The approved centre was compliant with this regulation. The quality assessment was satisfactory and not rated excellent because the approved centre did not meet all criteria of the Judgement Support Framework under the processes pillar. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 23 of 95

24 Regulation 9: Recreational Activities COMPLIANT Quality Rating Excellent The registered proprietor shall ensure that an approved centre, insofar as is practicable, provides access for residents to appropriate recreational activities. INSPECTION FINDINGS Processes: The approved centre had a written policy in relation to the provision of recreational activities, which was last reviewed in February The policy included all of the requirements of the Judgement Support Framework. Training and Education: Relevant staff had signed a log indicating that they had read and understood the policy. Relevant staff interviewed could articulate the processes relating to recreational activities, as set out in the policy. Monitoring: A record of the occurrence of planned recreational activities, including a log of resident uptake/attendance was maintained. Analysis had been completed to identify opportunities for improving the processes relating to recreational activities. Evidence of Implementation: Residents had access to appropriate recreational activities. The activities available on the Psychiatry of Later Life (POLL) unit included bingo, music, ball games, newspaper review, radio, knitting, card games, and arts and crafts. Residents in the POLL unit had access to a newly refurbished rooftop patio area, with raised beds and a small space for walking. There was also a lounge area with a TV and a multi-sensory room. The acute admission unit had three lounges, each with a TV. Residents had access to newspapers, magazines, books, table games, and arts and crafts. There was also a small gym room and outdoor garden space. There was a weekly yoga class, and the activities nurses ran a weekly baking group and brought residents for walks in the hospital grounds. Recreational activities were scheduled in the approved centre on weekdays and at weekends. Information about recreational activities was provided to residents via notices and timetables posted up throughout the approved centre. Activities were developed, maintained, and implemented with resident involvement. Recreational activities were appropriately resourced, and opportunities were available for indoor and outdoor exercise and physical activity. Documented records of attendance were retained for recreational activities within the residents clinical files. The approved centre was compliant with this regulation. The quality assessment was rated excellent because the approved centre met all criteria of the Judgement Support Framework. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 24 of 95

25 Regulation 10: Religion COMPLIANT Quality Rating Excellent The registered proprietor shall ensure that residents are facilitated, insofar as is reasonably practicable, in the practice of their religion. INSPECTION FINDINGS Processes: The approved centre had a written policy in relation to the facilitation of religious practice by residents, which was last reviewed in February It included all of the requirements of the Judgement Support Framework. Training and Education: Relevant staff had signed a log indicating that they had read and understood the policy. Relevant staff interviewed were able to articulate the processes for facilitating residents in the practice of their religion, as set out in the policy. Monitoring: The implementation of the policy to support residents religious practices was reviewed to ensure it reflects the identified needs of the residents. Evidence of Implementation: Residents were facilitated in the practice of their religion insofar as was practicable. There was a chapel in the general hospital, which residents could visit weekly. Residents also had access to multi-faith chaplains. Following a risk assessment, residents could attend religious services outside of the approved centre, if deemed appropriate. The care and services provided within the approved centre were respectful of residents religious beliefs and values, and residents were facilitated in observing or abstaining from religious practice in line with their wishes. The approved centre was compliant with this regulation. The quality assessment was rated excellent because the approved centre met all criteria of the Judgement Support Framework. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 25 of 95

26 Regulation 11: Visits COMPLIANT Quality Rating Satisfactory (1) The registered proprietor shall ensure that appropriate arrangements are made for residents to receive visitors having regard to the nature and purpose of the visit and the needs of the resident. (2) The registered proprietor shall ensure that reasonable times are identified during which a resident may receive visits. (3) The registered proprietor shall take all reasonable steps to ensure the safety of residents and visitors. (4) The registered proprietor shall ensure that the freedom of a resident to receive visits and the privacy of a resident during visits are respected, in so far as is practicable, unless indicated otherwise in the resident's individual care plan. (5) The registered proprietor shall ensure that appropriate arrangements and facilities are in place for children visiting a resident. (6) The registered proprietor shall ensure that an approved centre has written operational policies and procedures for visits. INSPECTION FINDINGS Processes: The approved centre had a written policy in relation to visits, which was last reviewed in February It included requirements of the Judgement Support Framework, with the exception of required visitor identification methods. Training and Education: Relevant staff had signed a log indicating that they had read and understood the policy. Relevant staff interviewed were able to articulate the processes relating to visits, as set out in the policy. Monitoring: Restrictions on residents rights to receive visitors were monitored and reviewed on an ongoing basis. Analysis was completed to identify opportunities to improve visiting processes. This was documented. Evidence of Implementation: Visiting times, which were appropriate and reasonable, were publicly displayed in the approved centre. There were three separate, dedicated visitors rooms where residents could meet visitors in private, unless there was an identified risk to the resident or to others or a health and safety risk. Appropriate steps were taken to ensure visitor safety and the safety of residents during visits. Children were welcome when accompanied at all times for their safety. Visiting areas had facilities suitable for visiting children. The approved centre was compliant with this regulation. The quality assessment was satisfactory and not rated excellent because the approved centre did not meet all criteria of the Judgement Support Framework under the processes pillar. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 26 of 95

27 Regulation 12: Communication COMPLIANT Quality Rating Satisfactory (1) Subject to subsections (2) and (3), the registered proprietor and the clinical director shall ensure that the resident is free to communicate at all times, having due regard to his or her wellbeing, safety and health. (2) The clinical director, or a senior member of staff designated by the clinical director, may only examine incoming and outgoing communication if there is reasonable cause to believe that the communication may result in harm to the resident or to others. (3) The registered proprietor shall ensure that the approved centre has written operational policies and procedures on communication. (4) For the purposes of this regulation "communication" means the use of mail, fax, , internet, telephone or any device for the purposes of sending or receiving messages or goods. INSPECTION FINDINGS Processes: The approved centre had a written policy in relation to resident communication, which was last reviewed in February It included requirements of the Judgement Support Framework, with the following exceptions: The roles and responsibilities for resident communication processes. The process whereby resident communications could be examined by a senior member of staff. The individual risk assessment requirements in relation to limiting resident communication activities. Training and Education: Relevant staff had signed a log indicating that they had read and understood the policy. Relevant staff interviewed could articulate the processes for facilitating residents communication, as set out in the policy. Monitoring: There was no evidence that residents communications needs and restrictions on communication were monitored on an ongoing basis. Analysis had not been completed to identify opportunities for improving communication processes. Evidence of Implementation: Residents had access to external communications, including telephone, mail, fax, , and Internet. Where appropriate, individual risk assessments were completed for residents in relation to risks associated with their external communication. These were documented in their individual care plans. Only the clinical director or a senior staff member could examine incoming and outgoing resident communication where there was reasonable cause to believe that the communication may result in harm to the resident or to others. The approved centre was compliant with this regulation. The quality assessment was satisfactory and not rated excellent because the approved centre did not meet all criteria of the Judgement Support Framework under the processes and monitoring pillars. AC0096 Acute Mental Health Unit, Cork University Hospital Approved Centre Inspection Report 2017 Page 27 of 95

St. Patrick s University Hospital

St. Patrick s University Hospital St. Patrick s University Hospital ID Number: AC0005 2017 Approved Centre Inspection Report (Mental Health Act 2001) St. Patrick s University Hospital James s St Dublin 8. Approved Centre Type: Acute Adult

More information

Department of Psychiatry, University Hospital Galway

Department of Psychiatry, University Hospital Galway Department of Psychiatry, University Hospital Galway ID Number: AC0023 2017 Approved Centre Inspection Report (Mental Health Act 2001) Department of Psychiatry, University Hospital Galway Newcastle Road

More information

St. Aloysius Ward, Mater Misericordiae University Hospital

St. Aloysius Ward, Mater Misericordiae University Hospital St. Aloysius Ward, Mater Misericordiae University Hospital ID Number: AC0028 2017 Approved Centre Inspection Report (Mental Health Act 2001) St. Aloysius Ward Mater Misericordiae University Hospital North

More information

Acute Psychiatric Unit, Tallaght Hospital

Acute Psychiatric Unit, Tallaght Hospital Acute Psychiatric Unit, Tallaght Hospital ID Number: AC0012 2017 Approved Centre Inspection Report (Mental Health Act 2001) Acute Psychiatric Unit, Tallaght Hospital Tallaght Dublin 24 Approved Centre

More information

2018 Approved Centre Inspection Report (Mental Health Act 2001) Approved Centre Type:

2018 Approved Centre Inspection Report (Mental Health Act 2001) Approved Centre Type: Teach Aisling ID Number: AC0069 2018 Approved Centre Inspection Report (Mental Health Act 2001) Teach Aisling Westport Road Castlebar Co. Mayo Approved Centre Type: Mental Health Rehabilitation Continuing

More information

Mental Health Commission Approved Centre Inspection Report (Mental Health Act 2001)

Mental Health Commission Approved Centre Inspection Report (Mental Health Act 2001) Mental Health Commission Approved Centre Inspection Report (Mental Health Act 2001) APPROVED CENTRE NAME: IDENTIFICATION NUMBER: APPROVED CENTRE TYPE: REGISTERED PROPRIETOR: REGISTERED PROPRIETOR NOMINEE:

More information

Mental Health Commission Approved Centre Inspection Report (Mental Health Act 2001)

Mental Health Commission Approved Centre Inspection Report (Mental Health Act 2001) Mental Health Commission Approved Centre Inspection Report (Mental Health Act 2001) APPROVED CENTRE NAME: IDENTIFICATION NUMBER: APPROVED CENTRE TYPE: REGISTERED PROPRIETOR: REGISTERED PROPRIETOR NOMINEE:

More information

Report of the Inspector of Mental Health Services 2012

Report of the Inspector of Mental Health Services 2012 Report of the Inspector of Mental Health Services 2012 EECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA Independent Sector HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE Independent Sector Independent Sector

More information

Report of the Inspector of Mental Health Services 2012

Report of the Inspector of Mental Health Services 2012 Report of the Inspector of Mental Health Services 2012 EECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA Galway, Mayo and Roscommon HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE West Mayo Adult Mental Health

More information

Report of the Inspector of Mental Health Services 2013

Report of the Inspector of Mental Health Services 2013 Report of the Inspector of Mental Health Services 2013 EECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA Dublin North HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE Dublin North East Dublin North St. Joseph

More information

Report of the Inspector of Mental Health Services 2008

Report of the Inspector of Mental Health Services 2008 HSE AREA CATCHMENT MENTAL HEALTH SERVICE APPROVED CENTRE HSE Dublin North East North West Dublin North West Dublin St. Brendan s Hospital NUMBER OF UNITS OR WARDS 5 UNITS OR WARDS INSPECTED Unit O Unit

More information

Report of the Inspector of Mental Health Services 2013

Report of the Inspector of Mental Health Services 2013 Report of the Inspector of Mental Health Services 2013 EECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE Independent Independent St. John of God Services, Ltd.

More information

Report of the Inspector of Mental Health Services 2012

Report of the Inspector of Mental Health Services 2012 Report of the Inspector of Mental Health Services 2012 EECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA Independent Sector HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE Independent Sector Independent St.

More information

Report of the Inspector of Mental Health Services 2013

Report of the Inspector of Mental Health Services 2013 Report of the Inspector of Mental Health Services 2013 EECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA North Dublin HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE Dublin North East North Dublin Joyce Rooms,

More information

Report of the Inspector of Mental Health Services 2014

Report of the Inspector of Mental Health Services 2014 Report of the Inspector of Mental Health Services 2014 EECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE Galway, Mayo, Roscommon HSE West Roscommon Mental Health

More information

Report of the Inspector of Mental Health Services 2012

Report of the Inspector of Mental Health Services 2012 Report of the Inspector of Mental Health Services 2012 EXECUTIVE CATCHMENT AREA/INTEGRATED SERVICE AREA Galway, Mayo, Roscommon HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE NUMBER OF WARDS West Mayo

More information

Below you will find a number of Inspection Reports published by the Mental Health Commission.

Below you will find a number of Inspection Reports published by the Mental Health Commission. Mental Health Commission Approved Centre Inspection Reports Below you will find a number of Inspection Reports published by the Mental Health Commission. The Approved Centres reported on are: 1. Jonathan

More information

Report of the Inspector of Mental Health Services 2011

Report of the Inspector of Mental Health Services 2011 Report of the Inspector of Mental Health Services 2011 EECUTIVE CATCHMENT AREA HSE AREA MENTAL HEALTH SERVICE APPROVED CENTRE Limerick, North Tipperary, Clare West Limerick St. Joseph s Hospital NUMBER

More information

Report of an inspection of a Designated Centre for Disabilities (Adults)

Report of an inspection of a Designated Centre for Disabilities (Adults) Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated centre: Name of provider: Address of centre: Kilbride House Nua Healthcare Services Unlimited Company Laois Type

More information

STATUTORY INSTRUMENTS. S.I. No. 367 of 2013

STATUTORY INSTRUMENTS. S.I. No. 367 of 2013 STATUTORY INSTRUMENTS. S.I. No. 367 of 2013 HEALTH ACT 2007 (CARE AND SUPPORT OF RESIDENTS IN DESIGNATED CENTRES FOR PERSONS (CHILDREN AND ADULTS) WITH DISABILITIES) REGULATIONS 2013 2 [367] S.I. No. 367

More information

Health Information and Quality Authority Regulation Directorate

Health Information and Quality Authority Regulation Directorate Health Information and Quality Authority Regulation Directorate Compliance Monitoring Inspection report Designated Centres under Health Act 2007, as amended Centre name: Centre ID: Centre county: Type

More information

Health Information and Quality Authority Regulation Directorate

Health Information and Quality Authority Regulation Directorate Health Information and Quality Authority Regulation Directorate Compliance Monitoring Inspection report Designated Centres under Health Act 2007, as amended Centre name: Centre ID: TLC City West OSV-0000692

More information

Report of an inspection of a Designated Centre for Disabilities (Adults)

Report of an inspection of a Designated Centre for Disabilities (Adults) Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated centre: Name of provider: Address of centre: Dara Respite House Dara Residential Services Kildare Type of inspection:

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St Marys Nursing Home 344 Chanterlands Avenue, Hull, HU5 4DT

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. The Hayes Culverhayes, Long Street, Sherborne, DT9 3ED Tel:

More information

Mental Welfare Commission for Scotland. Report on announced visit to: The Ayr Clinic, Dalmellington Road, Ayr KA6 6PJ. Date of visit: 12 April 2018

Mental Welfare Commission for Scotland. Report on announced visit to: The Ayr Clinic, Dalmellington Road, Ayr KA6 6PJ. Date of visit: 12 April 2018 Mental Welfare Commission for Scotland Report on announced visit to: The Ayr Clinic, Dalmellington Road, Ayr KA6 6PJ Date of visit: 12 April 2018 Where we visited The Ayr Clinic is an independent hospital

More information

Report of an inspection of a Designated Centre for Disabilities (Adults)

Report of an inspection of a Designated Centre for Disabilities (Adults) Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated centre: Name of provider: Address of centre: Jeddiah Health Service Executive Sligo Type of inspection: Unannounced

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. The St Aubyn Centre The St Aubyn Centre, Severalls Hospital,

More information

Mental Health Commission Rules

Mental Health Commission Rules Mental Health Commission Rules Reference Number: R-S69(2)/02/2006 RULES GOVERNING THE USE OF SECLUSION AND MECHANICAL MEANS OF BODILY RESTRAINT 1 st November 2006 PREAMBLE Section 69(2) of the Mental Health

More information

Report of an inspection of a Designated Centre for Older People

Report of an inspection of a Designated Centre for Older People Report of an inspection of a Designated Centre for Older People Name of designated centre: Name of provider: Address of centre: Kiltipper Woods Care Centre Kiltipper Woods Care Centre Kiltipper Road, Tallaght,

More information

Health Information and Quality Authority Regulation Directorate

Health Information and Quality Authority Regulation Directorate Health Information and Quality Authority Regulation Directorate Compliance Monitoring Inspection report Designated Centres under Health Act 2007, as amended Centre name: Centre ID: Ailesbury Private Nursing

More information

Review of compliance. Adult Mental Health Services Tower Hamlets Directorate. East London NHS Foundation Trust. London. Region:

Review of compliance. Adult Mental Health Services Tower Hamlets Directorate. East London NHS Foundation Trust. London. Region: Review of compliance East London NHS Foundation Trust Adult Mental Health Services Tower Hamlets Directorate Region: Location address: Type of service: London Tower Hamlets Centre for Mental Health Bancroft

More information

Rehabilitation and Recovery Mental Health Unit, St. John s Hospital Campus ID Number: AC0101

Rehabilitation and Recovery Mental Health Unit, St. John s Hospital Campus ID Number: AC0101 Rehabilitation and Recovery Mental Health Unit, St. John s Hospital Campus ID Number: AC0101 2017 Approved Centre Focused Inspection Report (Mental Health Act 2001) St. John s Hospital Campus Ballytivnan

More information

Report of an inspection of a Designated Centre for Older People

Report of an inspection of a Designated Centre for Older People Report of an inspection of a Designated Centre for Older People Name of designated centre: Name of provider: Address of centre: Mountpleasant Lodge FirstCare Ireland Kilcock Limited Clane Road, Duncreevan,

More information

Report of the Inspector of Mental Health Services 2010

Report of the Inspector of Mental Health Services 2010 Report of the Inspector of Mental Health Services 2010 EECUTIVE CATCHMENT AREA HSE AREA CATCHMENT AREA MENTAL HEALTH SERVICE APPROVED CENTRE Limerick, North Tipperary, Clare West Limerick Limerick St.

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. The Bethlem Royal Hospital Monks Orchard Road, Beckenham, BR3

More information

2017 Approved Centre Focused Inspection Report (Mental Health Act 2001) Approved Centre Type: Acute Adult Mental Health Care. Registered Proprietor:

2017 Approved Centre Focused Inspection Report (Mental Health Act 2001) Approved Centre Type: Acute Adult Mental Health Care. Registered Proprietor: Lois Bridges ID Number: AC0079 2017 Approved Centre Focused Inspection Report (Mental Health Act 2001) Lois Bridges 3 Greenfield Road Sutton Dublin 13 Approved Centre Type: Acute Adult Mental Health Care

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Marie Curie Hospice Liverpool Speke Road, Woolton, Liverpool,

More information

Report of an inspection of a Designated Centre for Disabilities (Adults)

Report of an inspection of a Designated Centre for Disabilities (Adults) Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated centre: Name of provider: Address of centre: Dolmen House BEAM Housing Association Company Limited by Guarantee

More information

Report of an inspection of a Designated Centre for Older People

Report of an inspection of a Designated Centre for Older People Report of an inspection of a Designated Centre for Older People Name of designated centre: Name of provider: Address of centre: Araglen House Nursing Home Araglen House Nursing Home Limited Loumanagh,

More information

Report. Leigh House, Specialised Services Winchester

Report. Leigh House, Specialised Services Winchester Report Leigh House, Specialised Services Winchester Thursday 23 rd February 2012 Overall Impression Leigh house appeared to have a calm and relaxed atmosphere with a non-clinical feel, a nice environment

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Woodlands Residential Care Wood Lane, Netherley, Liverpool,

More information

NHS Mental Health Service Inspection (Unannounced)

NHS Mental Health Service Inspection (Unannounced) NHS Mental Health Service Inspection (Unannounced) Glan Rhyd Hospital / Taith Newydd (Cedar Ward and Rowan Ward) / Abertawe Bro Morgannwg University Health Board Inspection date: 24-26 July 2017 Publication

More information

Assessment Framework for Designated Centres for Persons (Children and Adults) with Disabilities

Assessment Framework for Designated Centres for Persons (Children and Adults) with Disabilities Assessment Framework for Designated Centres for Persons (Children and Adults) with Disabilities January, 2015 1 About the The (HIQA) is the independent Authority established to drive high quality and safe

More information

Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service

Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service Inspections of Mental Health Hospitals and Mental Health Hospitals for People with a Learning Disability Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service 1 Our Vision,

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Feng Shui House Care Home 661 New South Promenade, Blackpool,

More information

Cumbrae House Care Home Service Adults 4-18 Burnbank Terrace Glasgow G20 6UQ Telephone:

Cumbrae House Care Home Service Adults 4-18 Burnbank Terrace Glasgow G20 6UQ Telephone: Cumbrae House Care Home Service Adults 4-18 Burnbank Terrace Glasgow G20 6UQ Telephone: 0141 332 5909 Inspected by: Alison McEleny Type of inspection: Unannounced Inspection completed on: 20 September

More information

ANNUAL REPORT TUARASCÁIL BHLIANTÚIL2007. Book 5. HSE WEST Approved Centre Reports by HSE Area

ANNUAL REPORT TUARASCÁIL BHLIANTÚIL2007. Book 5. HSE WEST Approved Centre Reports by HSE Area ANNUAL REPORT TUARASCÁIL BHLIANTÚIL2007 Book 5 HSE WEST Approved Centre Reports by HSE Area These reports were prepared on the basis of information and documentation obtained from mental health service

More information

Woodbridge House. Aitch Care Homes (London) Limited. Overall rating for this service. Inspection report. Ratings. Good

Woodbridge House. Aitch Care Homes (London) Limited. Overall rating for this service. Inspection report. Ratings. Good Aitch Care Homes (London) Limited Woodbridge House Inspection report 151 Sturdee Avenue Gillingham Kent ME7 2HH Tel: 01634281890 Website: www.regard.co.uk Date of inspection visit: 14 March 2017 Date of

More information

Report of an inspection of a Designated Centre for Disabilities (Adults)

Report of an inspection of a Designated Centre for Disabilities (Adults) Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated Grattan Lodge centre: Name of provider: St Michael's House Address of centre: Dublin 13 Type of inspection: Announced

More information

Report of an inspection of a Designated Centres for Older People

Report of an inspection of a Designated Centres for Older People Report of an inspection of a Designated Centres for Older People Name of designated centre: Name of provider: Address of centre: Castletownbere Community Hospital Health Service Executive Castletownbere,

More information

ANNUAL REPORT TUARASCÁIL BHLIANTÚIL2007. Book 2. HSE DUBLIN NORTH EAST Approved Centre Reports by HSE Area

ANNUAL REPORT TUARASCÁIL BHLIANTÚIL2007. Book 2. HSE DUBLIN NORTH EAST Approved Centre Reports by HSE Area ANNUAL REPORT TUARASCÁIL BHLIANTÚIL2007 Book 2 HSE DUBLIN NORTH EAST Approved Centre Reports by HSE Area These reports were prepared on the basis of information and documentation obtained from mental health

More information

Birmingham and Solihull Mental Health Foundation Trust

Birmingham and Solihull Mental Health Foundation Trust Birmingham and Solihull Mental Health Foundation Trust Acute Admission Wards Quality Report Requires Improvement 50 Summer Hill Road Birmingham B1 3RB Tel: 0121 301 2000 Website: www.bsmhft.nhs.uk Date

More information

Inspection Report on

Inspection Report on Inspection Report on Cwm Coed Residential Home Aberbeeg Date of Publication Monday, 25 September 2017 Welsh Government Crown copyright 2017. You may use and re-use the information featured in this publication

More information

Report of an inspection of a Designated Centre for Disabilities (Children)

Report of an inspection of a Designated Centre for Disabilities (Children) Report of an inspection of a Designated Centre for Disabilities (Children) Name of designated centre: Name of provider: Cliff House Address of centre: Dublin 3 Stepping Stones Residential Care Limited

More information

Welcome to Sapphire Ward

Welcome to Sapphire Ward Welcome to Sapphire Ward Welcome to Sapphire Ward This welcome pack provides information that we hope will support your stay at the Whiteleaf Centre. It has been designed to make sure that you know what

More information

Report of an inspection of a Designated Centre for Disabilities (Adults)

Report of an inspection of a Designated Centre for Disabilities (Adults) Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated centre: Name of provider: Address of centre: Newcastle West Community Residential Houses Brothers of Charity

More information

Report of an inspection of a Designated Centre for Disabilities (Adults)

Report of an inspection of a Designated Centre for Disabilities (Adults) Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated centre: Name of provider: Address of centre: Rochestown Avenue Peter Bradley Foundation Company Limited by Guarantee

More information

Health Information and Quality Authority Regulation Directorate

Health Information and Quality Authority Regulation Directorate Health Information and Quality Authority Regulation Directorate Compliance Monitoring Inspection report Designated Centres under Health Act 2007, as amended Centre name: Centre ID: Centre county: Type

More information

Report of an inspection of a Designated Centre for Disabilities (Adults)

Report of an inspection of a Designated Centre for Disabilities (Adults) Report of an inspection of a Designated Centre for Disabilities (Adults) Name of designated Fox's Lane centre: Name of provider: St Michael's House Address of centre: Dublin 5 Type of inspection: Unannounced

More information

Report of an inspection of a Designated Centre for Older People

Report of an inspection of a Designated Centre for Older People Report of an inspection of a Designated Centre for Older People Name of designated centre: Name of provider: Address of centre: Edenderry Community Nursing Unit Health Service Executive St. Mary's Road,

More information

Moorleigh Residential Care Home Limited

Moorleigh Residential Care Home Limited Moorleigh Residential Care Home Limited Moorleigh Residential Care Home Inspection report Lummaton Cross, Barton, Torquay. TQ2 8ET Tel: 01803 326978 Website: Date of inspection visit: 14 April 2015 Date

More information

Mental Health Act Monitoring Inspection (Unannounced) Cwm Taf University Health Board; Pinewood House

Mental Health Act Monitoring Inspection (Unannounced) Cwm Taf University Health Board; Pinewood House Mental Health Act Monitoring Inspection (Unannounced) Cwm Taf University Health Board; Pinewood House 11 August 2015 This publication and other HIW information can be provided in alternative formats or

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Kneesworth House Bassingbourn-cum-Kneesworth, Royston, SG8 5JP

More information

Key inspection report

Key inspection report Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Lonsdale House 8 Lichfield Road Walsall West Midlands WS4 2DH The quality rating for this care home

More information

Heading. Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland

Heading. Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland Place your message here. For maximum impact, use two or three sentences. Heading Safeguarding of Children and Vulnerable Adults in Mental Health and Learning Disability Hospitals in Northern Ireland Follow

More information

Report of an inspection of a Designated Centre for Disabilities (Children)

Report of an inspection of a Designated Centre for Disabilities (Children) Report of an inspection of a Designated Centre for Disabilities (Children) Name of designated centre: Name of provider: Address of centre: Holly Services Ability West Galway Type of inspection: Announced

More information

Melrose. Mr H G & Mrs A De Rooij. Overall rating for this service. Inspection report. Ratings. Requires Improvement

Melrose. Mr H G & Mrs A De Rooij. Overall rating for this service. Inspection report. Ratings. Requires Improvement Mr H G & Mrs A De Rooij Melrose Inspection report 8 Melrose Avenue Hoylake Wirral Merseyside CH47 3BU Tel: 01516324669 Website: www.polderhealthcare.co.uk Date of inspection visit: 24 April 2017 27 April

More information

Interserve Healthcare Liverpool

Interserve Healthcare Liverpool Interserve Healthcare Limited Interserve Healthcare Liverpool Inspection report 2nd Floor, Cunard Building Water Street Liverpool Merseyside L3 1EL Date of inspection visit: 08 August 2017 Date of publication:

More information

Report on an unannounced visit to Alexandra Hospital Older Persons Mental Health Admission Unit Under the Crimes of Torture Act 1989

Report on an unannounced visit to Alexandra Hospital Older Persons Mental Health Admission Unit Under the Crimes of Torture Act 1989 COTA Report Report on an unannounced visit to Alexandra Hospital Older Persons Mental Health Admission Unit Under the Crimes of Torture Act 1989 1 June 2016 Judge Peter Boshier Chief Ombudsman National

More information

Mental Health Service Inspection (Unannounced) Rushcliffe Independent Hospital Aberavon Rushcliffe Care Ltd. Inspection Date: January 2017

Mental Health Service Inspection (Unannounced) Rushcliffe Independent Hospital Aberavon Rushcliffe Care Ltd. Inspection Date: January 2017 Mental Health Service Inspection (Unannounced) Rushcliffe Independent Hospital Aberavon Rushcliffe Care Ltd Inspection Date: 23 25 January 2017 Publication Date: 26 April 2017 This publication and other

More information

Registration and Inspection Service

Registration and Inspection Service Registration and Inspection Service Children s Residential Centre Centre ID number: 035 Year: 2018 Lead inspector: John Laste Registration and Inspection Services Tusla - Child and Family Agency Units

More information

RQIA Provider Guidance Nursing Homes

RQIA Provider Guidance Nursing Homes RQIA Provider Guidance 2016-17 Nursing Homes www.r qia.org.uk A s s u r a n c e, C h a l l e n g e a n d I m p r o v e m e n t i n H e a l t h a n d S o c i a l C a r e What we do The Regulation and Quality

More information

Report of an inspection of a Designated Centre for Older People

Report of an inspection of a Designated Centre for Older People Report of an inspection of a Designated Centre for Older People Name of designated centre: Name of provider: Address of centre: Dungarvan Community Hospital Health Service Executive Springhill, Dungarvan,

More information

Dalawoodie House Nursing Home Care Home Service

Dalawoodie House Nursing Home Care Home Service Dalawoodie House Nursing Home Care Home Service Newbridge Dumfries DG2 0QY Telephone: 01387 720 905 Type of inspection: Unannounced Inspection completed on: 25 May 2017 Service provided by: Downing Care

More information

Overall rating for this location Requires improvement

Overall rating for this location Requires improvement Riverdale Grange Clinic Quality Report 93 Riverdale Road Ranmoor Sheffield South Yorkshire S10 3FE Tel:0114 230 2140 Website:http://www.riverdalegrange.co.uk Date of inspection visit: 9 August 2017 Date

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Thorpe House Nursing Home Limited 20-22 Finthorpe Lane, Almondbury,

More information

Health Information and Quality Authority Regulation Directorate

Health Information and Quality Authority Regulation Directorate Health Information and Quality Authority Regulation Directorate Compliance Monitoring Inspection report Designated Centres under Health Act 2007, as amended Centre name: Centre ID: Arus Breffni OSV-0000659

More information

Moti Willow. Maison Moti Limited. Overall rating for this service. Inspection report. Ratings. Good

Moti Willow. Maison Moti Limited. Overall rating for this service. Inspection report. Ratings. Good Maison Moti Limited Moti Willow Inspection report 1 Watling Street Radlett Hertfordshire WD7 7NG Tel: 01923857460 Date of inspection visit: 03 April 2017 Date of publication: 03 May 2017 Ratings Overall

More information

Stairways. Harpenden Mencap. Overall rating for this service. Inspection report. Ratings. Good

Stairways. Harpenden Mencap. Overall rating for this service. Inspection report. Ratings. Good Harpenden Mencap Stairways Inspection report 19 Douglas Road Harpenden Hertfordshire AL5 2EN Tel: 01582460055 Website: www.harpendenmencap.org.uk Date of inspection visit: 12 January 2016 Date of publication:

More information

Unannounced Care Inspection Report 15 March 2017

Unannounced Care Inspection Report 15 March 2017 Unannounced Care Inspection Report 15 March 2017 Prospect Type of Service: Nursing Home Address: 3 Old Galgorm Road, Ballymena, BT42 1AL Tel no: 028 2564 5813 Inspector: Bridget Dougan w w w. r q i a.

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St Andrews Care Home Great North Road, Welwyn Garden City, AL8

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St John's Care Home 66 Hawthorn Bank, Spalding, PE11 1JQ Tel:

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St Vincent's Nursing Home Wiltshire Lane, Eastcote, Pinner,

More information

Benvarden Residential Care Homes Limited

Benvarden Residential Care Homes Limited Benvarden Residential Care Homes Limited Benvarden Residential Care Homes Limited Inspection report 110 Ash Green Lane Exhall Coventry West Midlands CV7 9AJ Date of inspection visit: 14 January 2016 Date

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. The Homestead 6, Elwyn Road, Exmouth, EX8 2EL Tel: 01395263778

More information

Aldwyck Housing Group Limited

Aldwyck Housing Group Limited Aldwyck Housing Group Limited Celia Johnson Court Inspection report < Gregson Close Borehamwood Hertfordshire WD6 5RG Tel: 020 8207 3700 Website: www.aldwyck.co.uk Date of inspection visit: 10 June 2015

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. St John's Home St Mary's Road, Oxford, OX4 1QE Tel: 01865247725

More information

Kibble Safe Centre Secure Accommodation Service Goudie Street Paisley PA3 2LG

Kibble Safe Centre Secure Accommodation Service Goudie Street Paisley PA3 2LG Kibble Safe Centre Secure Accommodation Service Goudie Street Paisley PA3 2LG Inspected by: Mark Causer Janis Toy Type of inspection: Unannounced Inspection completed on: 10 January 2013 Contents Page

More information

Saresta and Serenade. Maison Care Ltd. Overall rating for this service. Inspection report. Ratings. Good

Saresta and Serenade. Maison Care Ltd. Overall rating for this service. Inspection report. Ratings. Good Maison Care Ltd Saresta and Serenade Inspection report Bromley Road Elmstead Market Colchester Essex CO7 7BX Date of inspection visit: 27 July 2016 Date of publication: 16 August 2016 Tel: 01206827034

More information

Cheshire House (Care Home) Care Home Service Adults Ness Walk Inverness IV3 5NE

Cheshire House (Care Home) Care Home Service Adults Ness Walk Inverness IV3 5NE Cheshire House (Care Home) Care Home Service Adults Ness Walk Inverness IV3 5NE Type of inspection: Unannounced Inspection completed on: 26 June 2014 Contents Page No Summary 3 1 About the service we inspected

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Crook Log Surgery 19 Crook Log, Bexleyheath, DA6 8DZ Tel: 08444773340

More information

Date of publication:june Date of inspection visit:18 March 2014

Date of publication:june Date of inspection visit:18 March 2014 Jubilee House Quality Report Medina Road, Portsmouth PO63NH Tel: 02392324034 Date of publication:june 2014 www.solent.nhs.uk Date of inspection visit:18 March 2014 This report describes our judgement of

More information

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards.

We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Brambles Care Home Birchfield Road, Redditch, B97 4LX Tel: 01527555800

More information

Manis Aged Care Limited

Manis Aged Care Limited Manis Aged Care Limited Introduction This report records the results of a Surveillance Audit of a provider of aged residential care services against the Health and Disability Services Standards (NZS8134.1:2008;

More information

Maryborough Nursing Home inspection report, 5 July 2012

Maryborough Nursing Home inspection report, 5 July 2012 Maryborough Nursing Home inspection report, 5 July 2012 Item Type Report Authors Health Information and Quality Authority (HIQA);Social Services Inspectorate (SSI) Publisher Health Information and Quality

More information

Park Cottages. Park Care Limited. Overall rating for this service. Inspection report. Ratings. Requires Improvement

Park Cottages. Park Care Limited. Overall rating for this service. Inspection report. Ratings. Requires Improvement Park Care Limited Park Cottages Inspection report Neville Avenue Kendray Barnsley South Yorkshire S70 3HF Date of inspection visit: 22 November 2016 Date of publication: 09 January 2017 Tel: 01226771891

More information

Waterside House. Methodist Homes. Overall rating for this service. Inspection report. Ratings. Good

Waterside House. Methodist Homes. Overall rating for this service. Inspection report. Ratings. Good Methodist Homes Waterside House Inspection report 41 Moathouse Lane West Wolverhampton West Midlands WV11 3HA Tel: 01902727766 Website: www.mha.org.uk/ch26.aspx Date of inspection visit: 22 March 2017

More information

Health Information and Quality Authority Regulation Directorate

Health Information and Quality Authority Regulation Directorate Health Information and Quality Authority Regulation Directorate Compliance Monitoring Inspection report Designated Centres under Health Act 2007, as amended Centre name: Centre ID: Millbury Nursing Home

More information

Gloucestershire Old Peoples Housing Society

Gloucestershire Old Peoples Housing Society Gloucestershire Old People's Housing Society Limited Gloucestershire Old Peoples Housing Society Inspection report Watermoor House Watermoor Road Cirencester Gloucestershire GL7 1JR Tel: 01285654864 Website:

More information