Today, the Health Information and Quality Authority (HIQA) has published 22 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 22 inspections, inspectors found a generally good level of compliance with the regulations and standards in 15 centres operated by a number of providers including: Dundas Unlimited Company; Enable Ireland Disability Services Limited; GALRO Unlimited Company; Health Service Executive (HSE); Horizons; KARE, Promoting Inclusion for People with Intellectual Disabilities; Muiríosa Foundation; Peter Bradley Foundation CLG; and Positive Futures: Achieving Dreams. Transforming Lives. CLG.

Examples of good practice observed by inspectors included:

• At a centre in Wicklow operated by Enable Ireland Disability Services Limited, a resident attended a local service to meet up with friends and engage in activities of their choosing such as swimming, shopping, visiting the library and availing of other community-based activities. One resident enjoyed decorating the house for festive occasions and had a visual planner in place to support them with this. The resident had already started to decorate one of the lounges for Christmas which created a welcoming and festive atmosphere in the house.
• One resident in a centre in Offaly operated by GALRO Unlimited Company, had a keen interest in medieval history, and staff often brought them to visit various castles in the area. Residents had attended Halloween and Christmas parties hosted in a nearby service, as well as family visits during Christmas, and liked to get out for walks at various spots. Some residents also had a keen interest in films and games and would often spend their recreational time in a sitting room that was set up for this at the centre.
• Residents had recently got a greenhouse to support their interest in growing fruit and vegetables at a centre operated by the HSE in Sligo. In addition, new fruit trees were planted to add to the butterfly and sensory flower patches already in the garden. Staffing and the availability of vehicles at the centre supported residents to do individual activities, with two residents joining the local 'Men’s Shed' which they said they enjoyed.
   

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

Poor governance at a centre operated by Peamount Healthcare meant the service was not resourced to meet residents’ needs. Improvements were required by the provider in managing risks and fire safety and in supporting residents’ recreational and healthcare needs.

Poor governance was identified at three centres operated by Horizons. In two centres, improvements were required to support residents’ recreational activities as well as to the premises to support residents’ privacy and dignity. In the remaining centre, the management of safeguarding incidents and staff training required improvements.

Non-compliance was identified at two centres operated by Embrace Community Services Ltd. In one centre, a review of fire safety evacuation plans was required while in the remaining centre, residents’ healthcare needs and staffing required improvements. Finally, improvements were required in residents’ personal plans and assessments of care needs at a centre operated by Lotus Care Limited.