Today, the Health Information and Quality Authority (HIQA) has published 21 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 21 inspections, inspectors found a generally good level of compliance with the regulations and standards in 15 centres operated by a number of providers including: Ability West; Avista CLG; Brothers of Charity Services Ireland CLG; Dara Residential Services; Dundas Unlimited Company; Embrace Community Services Ltd; Health Service Executive (HSE); Kingsriver Community Holdings CLG; Muiríosa Foundation; St Michael's House; and Stewarts Care DAC.

Examples of good practice observed by inspectors included:

• Residents were supported to work towards a variety of personal goals and were actively encouraged to be involved in activities which they enjoyed at a centre in Kilkenny operated by Brothers of Charity Services Ireland CLG. Residents were involved in activities such as horse riding, reflexology, gardening, cinema, golf, sound therapy, Lámh (a manual sign system), choir and trips to the beach.
• At a HSE-operated centre in Sligo, residents enjoyed activities such as crochet, doing puzzles, arts and crafts, baking, gardening and watching movies. All residents enjoyed having Fridays off from their day placements, enabling them to plan beauty treatments appointments, going to the hairdressers and doing shopping. Residents also enjoyed going to music concerts, holidays, day trips and meals out. One resident has recently enjoyed a holiday to Lourdes, while other residents had gone on a range of day trips and to concerts throughout the Summer.
• Residents’ needs and wishes were respected and promoted at a centre in Westmeath operated by Muiriosa Foundation. One resident was supported to get tattoos and proudly showed them to the inspector. In addition, the same resident was supported to have a pet cat. The person in charge and the resident had devised a 'care plan' for the cat to ensure its care was met by all. 
   

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

Poor governance impacted upon residents at a centre operated by St Michael's House. An urgent action was issued to the provider to manage significant risks to residents identified during the inspection. In addition, inadequate safeguarding plans impacted upon a resident’s dignity and the provider was required to better manage incidents between residents. 

At a centre operated by Stewarts Care DAC, inappropriate living arrangements impacted upon the welfare of residents. 
Poor governance was identified at three centres operated by Avista CLG. In one centre, a review of restrictive practices and residents’ risks was required, with improvements also required in staffing and staff training. In the remaining two centres, improvements were required by the provider in risk management and staff training.

Finally, the premises of a centre operated by Kerry Parents and Friends Association did not meet the needs of residents.