Today, the Health Information and Quality Authority (HIQA) has published 23 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 23 inspections, inspectors found a generally good level of compliance with the regulations and standards in 17 centres operated by a number of providers including: Avista CLG; Barrow Valley Enterprise for Adult Members with Special Needs CLG; Corlann; Delta Centre CLG; Dundas Unlimited Company; Health Service Executive (HSE); Resilience Healthcare Limited; St Michael's House; the Cheshire Foundation in Ireland; and the Rehab Group.

Examples of good practice observed by inspectors included:

• Residents’ independence was promoted by staff at a centre in Kerry operated by The Cheshire Foundation in Ireland. Residents discussed how they liked to cook their own meals in their own apartment. One resident discussed how they went to the shops each week to buy their own food items which they enjoyed.
• Residents were supported to participate in their community in a way that was meaningful and promoted their independence, at a centre in Carlow operated by Barrow Valley Enterprise for Adult Members with Special Needs CLG. One resident was employed on a part-time basis, while another resident was attending an education course five days a week. All residents were encouraged and supported by staff to develop their independence.
• At a centre in Clare operated by Delta Centre CLG, a resident’s bedroom had been adapted to meet their needs. For example, the clothes rail had been lowered in their wardrobe so they could select their clothes themselves. There were also accessible elements in the centre which residents did not require at present, but the provider had included to ensure the premises could continue to meet residents’ needs in the future. Staff consulted with residents to get their input on changes to their home.

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

Poor governance was identified at three centres operated by Camphill Communities of Ireland. In one centre, a warning letter was issued to the provider due to repeated findings of non-compliance in residents’ healthcare, personal plans and staffing. In the remaining two centres, improvements were required in t areas such as staffing and the premises.

Poor governance at a centre operated by St Michael's House impacted upon residents’ living arrangements. The provider was required to make improvements in managing safeguarding incidents and staff training.

Non-compliance was identified at a centre operated by Avista CLG with improvements required in residents’ personal plans and assessing risks. Finally, improvements were required to support residents’ rights and staff training at a centre operated by Brothers of Charity Services Ireland CLG.