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 20 centres operated by a number of providers including: Nua Healthcare Services Limited; Orchard Community Care Limited; St Aidans Services; St Christopher's Services CLG; St John of God Community Services CLG; St Michael's House; St. Paul's Child and Family Care Centre Designated Activity Company; Stewarts Care DAC; and WALK CLG.

Examples of good practice observed by inspectors included:

• Residents were supported to develop daily living skills at a centre in Clare operated by Nua Healthcare Services Limited. For example, residents were supported by staff to use public transport until they were familiar with the local bus and train timetable and routes and could travel independently. Furthermore, residents were involved in the daily preparation of meals and looked after their own bedrooms and personal laundry.
• At a centre in Wexford operated by St Aidans Services, residents had busy, active lives and were very much a part of the local community. Residents spoke with the inspector about paid employment they had, as well as one resident also enjoying volunteering and working at a local charity shop.
• Residents led active and fulfilling lives in a centre in Longford, operated by Orchard Community Care Limited. One resident had achieved a number of personal goals, including an overnight stay in a hotel, and was planning to go to a music festival and have a day at the races. Another resident showed the inspector their collection of artwork which they had developed since moving to the centre.
• The inspector observed that a centre in Dublin operated by Stewarts Care DAC was spacious, bright and took into account residents’ needs, such as a low-arousal environment and the use of colour to assist with depth perception. Throughout the inspection, residents appeared relaxed and comfortable with the support and care provided by staff. 
   

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

At two centres operated by St Michael's House, poor governance increased risks facing residents. Improvements were required by the provider in protecting residents from all forms of abuse, staffing, and measures to protect against infection and fire precautions.

Poor governance impacted upon residents at a centre operated by Praxis Care. Improvements were required by the provider in managing safeguarding incidents between residents.

At a centre operated by Stepping Stones Residential Care Limited, poor governance impacted upon residents. The provider had not supported all residents’ wellbeing in the centre and improvement was required in supporting residents’ health needs.

At two centres operated by St John of God Community Services CLG, improvements were required in measures to protect residents from infection, residents’ support plans and in fire safety measures. At a centre operated by Resilience Healthcare Limited, the provider did not show appropriate oversight of residents’ medications.

Finally, improvements were required in staffing to support residents at a centre operated by Saint Patrick's Centre (Kilkenny)/trading as Aurora-Enriching Lives, Enriching Communities.