HIQA's older people's services inspection team is legally responsible for the monitoring, inspection and registration of designated centres for older people, such as nursing homes, in Ireland.

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 provider's service. This gives us an insight into the running of the nursing home and the good aspects of care there, such as residents being involved in the running of the centre.

What we do

We use regulations and national standards to monitor and inspect.

This ensures that providers are aware of the level and standard of service they should be providing 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, and some of which are thematic. Thematic monitoring programmes focus on a particular aspect of care provided, with a focus on improving the quality of that care.

During our inspections

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

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

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

After the inspection

We then publish 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.

We also receive unsolicited information by persons who may have a concern about the care provided. Inspectors review each piece of 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 not providing a safe service to residents, the Chief Inspector may cancel the provider’s registration of a centre. When a centre’s registration is cancelled, the HSE is the responsible body that must take over the running of the designated centre until alternative arrangements can be made for the residents under section 64 of the Health Act 2007 (as amended). The section 64 register is available at the link below.

Download the Section 64 Register