Today, the Health Information and Quality Authority (HIQA) has published 31 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 31 inspections, inspectors found a generally good level of compliance with the regulations and standards in 24 centres operated by a number of providers including: Avista CLG; Health Service Executive (HSE); Horizons; IRL-IASD CLG; Muiríosa Foundation; Nua Healthcare Services Limited; Praxis Care; S O S Kilkenny CLG; Talbot Care Unlimited Company; The Rehab Group; and Waterford Intellectual Disability Association CLG.

Examples of good practice observed by inspectors included:

• The outside area of a HSE-operated centre in Sligo included a large garden which was fully accessible and beautifully maintained. It included a poly tunnel, several potted flowers and shrubs and bird tables. Residents were involved in gardening projects and in designing and painting bird tables. Some residents owned farm animals which they looked after each day and which were in a nearby field to the house.
• Residents were included in decisions about the running of their home in Meath operated by Praxis Care. There was a lovely sensory garden for residents to sit out and one of the residents liked to feed the birds. A resident liked to take care of the garden and took pride in how well the garden looked.
• At a centre in Kilkenny operated by the Rehab Group, staff had been supported to have Irish Sign Language (ISL) training in line with one resident’s assessed needs. The ISL alphabet signs were on display around the centre and staff spoke about how they have demonstrations and practice sessions as part of their team meetings. Other supports in place included a visual 'staff on duty' board to ensure residents were aware who was scheduled to work in the centre for the week ahead.
   

Non-compliance that impacted on the delivery of care and support to residents was identified in seven other centres.
Poor governance impacted upon residents’ welfare at a centre operated by Nua Healthcare Services Limited. Improvements were required by the provider in meeting residents’ healthcare needs, staffing arrangements, staff training and in fire safety measures.

Poor governance increased fire safety risks for residents at a centre operated by Kerry Parents and Friends Association. In addition, the provider was required to improve the condition of the premises and to support residents’ transition plans to a new centre.

Residents were impacted by poor management of safeguarding incidents at a centre operated by Horizons. At a centre operated by Muiríosa Foundation, improvements were required by the provider in managing safeguarding incidents and fire safety measures.

At a centre operated by Saint Patrick's Centre (Kilkenny)/trading as Aurora-Enriching Lives, Enriching Communities, improvements were required in residents’ rights, governance and staffing to meet residents’ needs.

At a centre operated by Brothers of Charity Services Ireland CLG, the provider was required to better support residents’ living arrangements and activities.

Finally, improvements were required in management of residents’ finances at a centre operated by Praxis Care.