Joe & Helen O'Toole Community Nursing Unit

Condition 1
Subject to any prohibitions or restrictions contained in any other condition(s), the designated centre shall be operated at all times in accordance with the Statement of Purpose received 21 Jan 2025, (excluding the use of bedrooms 31, 32, 33, 34 and 36, to accommodate residents) within the footprint of the designated centre on the floor plan received on 21 January 2025. The registered provider shall only provide for the specific care and support needs, and services, within the facilities as set out the Statement of Purpose, as agreed with the Chief Inspector at the time of registration. Any changes to the specific care and support needs and services provided must be agreed in advance with the Chief Inspector.
Condition 2
Only persons aged 18 years or older shall be accommodated at the designated centre at any time.
Condition 3
The maximum number of persons that may be accommodated at the designated centre is 45.
Condition 4
By 30 March 2025, the registered provider will take the following action to ensure that the premises of the designated centre is appropriate for the number and needs of all residents accommodated there and that there is adequate means of escape, including emergency lighting.
a. Install emergency lighting on external routes from fire exits to designated places of safety
b. Ensure that there is adequate means of escape to facilitate the horizontal evacuation of residents from the Daycare block to the Residential bloc or provide a suitable external route away from the courtyard to a designated place of safety.
Condition 5
By 01 June 2025, all outdoor spaces on the first floor will be renovated so that these spaces are safe for use by all residents living in the designated centre.

By this date all barriers on the external rooftop garden and terrace will be extended to a suitable height to protect residents from the risk of catastrophic falls. In the interim of such work being completed the HSE will ensure that
1. neither residents nor staff will be able to access the roof top garden and terrace
2. appropriate signage is put in place to ensure that all visitors to the centre are aware that these areas may not be accessed
3. at all times (day and night) there are sufficient numbers of staff on duty in the designated centre to ensure appropriate supervision of residents and monitoring of exits out to the rooftop garden and terrace.
4. all staff employed in the designated centre are aware of the wording of this condition and the potential risk to residents

From the date this decision takes effect the HSE will submit fortnightly updates to inspectors of social services on the progress of the works required to render these spaces safe.