Today, the Health Information and Quality Authority (HIQA) has published 28 inspection reports on designated centres for people with disabilities. HIQA inspects against the Health Act 2007 (Care and Support of Residents in Designated Centres for Persons (Children and Adults) with Disabilities) Regulations 2013 and the National Standards for Residential Services for Children and Adults with Disabilities, which apply to residential services for people with disabilities in Ireland. 
Of these 28 inspections, inspectors found a generally good level of compliance with the regulations and standards in 17 centres operated by a number of providers including: Brothers of Charity Services Ireland CLG; Carriglea Cáirde Services; Dundas Unlimited Company; Nua Healthcare Services Limited; Peter Bradley Foundation CLG; Resilience Healthcare Limited; Saint Patrick's Centre (Kilkenny)/trading as Aurora-Enriching Lives, Enriching Communities; The Rehab Group; Nua Healthcare Services Limited; and Orchard Community Care Limited.

Examples of good practice observed by inspectors included:

• Residents were facilitated to make choices using visual supports and through staff observing their reactions to different activities, during an inspection of a centre operated by Carriglea Cáirde Services in Waterford. Elderly residents were observed being well supported with activities such as reading magazines, colouring, flower arranging and watching TV. Visual calendars were also in place in this centre, to support residents to understand upcoming events.
• At a centre in Kildare operated by Nua Healthcare Services Limited, residents were being supported to engage in community activities such as playing soccer and tennis, accessing the Special Olympics, social farming, improving self-care and getting their hair done. One resident went to Mondello Park regularly to look at Formula One racing cars, while another resident enjoyed going to the cinema regularly. Staff supported residents to learn how to budget and manage their money, and to administer their medication where appropriate.
• Residents’ individual interests and hobbies were being encouraged by staff at a centre in Limerick operated by Orchard Community Care Limited. One resident liked to travel to different locations and an information folder with photographs had been developed to assist the resident and staff to discuss possible locations to visit. Another resident had an interest in farm animals and related activities and staff were supporting this interest with plans to introduce them to social farming and gardening activities.
   

Non-compliance that impacted on the delivery of care and support to residents was identified in 11 other centres. 

Poor governance impacted on residents at three centres operated by Horizons. In one centre, improvements were required in managing safeguarding incidents and in promoting residents’ dignity and support plans. In the remaining two centres, improvements were required in fire safety measures and staff training.

At two centres operated by St Michael's House, poor management of safeguarding incidents by the provider impacted on residents’ safety and improvements were required to residents’ individual assessments and personal plans. Improvements were also needed around staffing to better meet residents’ needs. 

Poor governance was identified at three centres operated by Muiríosa Foundation. Across these centres, improvements were required in residents’ personal possessions, premises, fire safety and measures to protect against infection.

At a centre operated by Lotus Care Limited, poor governance increased risks facing residents. An immediate action was issued to address staff training in fire safety measures and to improve residents’ health records.

Poor governance impacted residents at a centre operated by the Health Service Executive (HSE). Improvements were required in the living arrangements for residents and in the management of residents’ finances.

Finally, improvements were required in the oversight of residents’ finances at a centre operated by The Rehab Group.