HIQA's disability inspection team is legally responsible for the monitoring, inspection and registration of designated centres for adults and children with a disability.

Our main goal during inspection is to meet as many people as possible, including residents and families. We may also speak with members of staff, the person in charge and the person who represents the registered provider. This gives us an insight into the running of the designated centre and the good aspects of care there, such as residents being involved in the running of the centre.

quotes from the overview infographic
We met with 18 residents' groups attended by 171 residents to talk about their experience of regulation.

3 principles of a good service

Over the past five years, findings from our inspections have consistently highlighted three principal characteristics that determine a good service.

  1. A staff culture that promotes and protects the rights and dignity of residents through person-centred care and support.
  2. A service that is led by a capable person in charge (supported by the provider) who is knowledgeable about the support needs of residents. This is demonstrated through high-quality safe care and support.
  3. A provider who has robust arrangements in place to assure itself that a safe, good quality service is being provided to residents. This is demonstrated through good governance and management.

What we do

We use regulations and national standards to monitor and inspect.

This ensures that providers deliver a safe, quality service to residents. Inspections ensure that services meet the requirements set out by the Health Act 2007, regulations and national standards in order to be registered to operate.

We carry out different types of inspections, some of which are announced and unannounced.

During our inspections

We are seeking assurance that the regulations are being adhered to.

We want to know that people who are receiving residential care and support:

  • are safe
  • have their rights respected
  • are included in decisions about their care and support
  • are provided with care and support that matches their individual health and social needs and
  • have a good quality of life.

After the inspection

We then publish all our inspection reports on our website.

These reports give information to the public on what it is like to live in the centre and whether a centre provides consistently good care and support.

Inspectors review all information about the centre including that gathered during inspection and any unsolicited information received, and use it to inform our work. Our aim is to ensure that good care is provided to residents, and we take necessary action to enforce this when required.

Section 64 register

What is a Section 64 Centre?

Where a registered provider is found not to be providing a safe service to residents and is not of good quality, the Chief Inspector may choose to cancel the registration of that centre. When the cancellation is initiated, under Section 64 of the Health Act the HSE are the responsible body that must take over the running of the designated centre until a suitable provider is sourced and that provider applies for and is granted registration by HIQA. Download the Section 64 register from the link below.

Download the Section 64 Register