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 21 centres operated by a number of providers including: Praxis Care; St Catherine's Association CLG; St John of God Community Services CLG; St Joseph's Foundation; St. Paul's Child and Family Care Centre Designated Activity Company; Stewarts Care DAC; Talbot Care Unlimited Company; Trinity Support and Care Services Limited; and Western Care Association.

Examples of good practice observed by inspectors included:

• Residents were supported to become involved in their local community while living in a centre operated by Praxis Care in Meath. Residents used the local swimming pool, accessed local shops and went grocery shopping throughout the week. One resident enjoyed a work placement in a local shop, while others had applied to be involved in local community initiatives. Residents were supported by staff to compile a wish list of goals that they wanted to achieve in the coming year, which included a plane trip to London and spa days.
• Staff had received recent communication training and were enhancing their knowledge of the Lámh-sign language to support residents’ communication and increase accessibility at a centre in Wicklow operated by St Catherine's Association CLG. Furthermore, staff had work towards making the centre more accessible through the use of visual aids to inform residents about which staff were supporting them and the location of items in the centre’s kitchen.
• Residents told the inspector about how staff supported them with their hobbies and interests at a centre in Kildare operated by St John of God Community Services CLG. One resident had joined the local rugby team while others had a passion for theatre and had recently taken part in a small Irish film production. Staff also supported residents to attend acting classes and work on their script writing.
   

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

Poor governance impacted on residents at three centres operated by St Michael's House. In one centre, improvements were required on residents’ living arrangements to minimise safeguarding incidents. In the remaining two centres, improvements were required in measures to protect against infection and complaints management.

Poor governance increased the risks facing residents at a centre operated by the Cheshire Foundation in Ireland. This resulted in an immediate action being issued to the provider to ensure a resident was protected from the risk of injury. 
Improvements were required in measures to protect against infection at a centre operated by St John of God Community Services CLG.

At a centre operated by St Joseph's Foundation, improvements were required in both staffing and governance to ensure residents’ needs were being met. Finally, improvements were required in the premises at a centre operated by Stewarts Care DAC.