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 11 centres operated by a number of providers including: St Hilda's Services; St John of God Community Services CLG; Stepping Stones Residential Care Limited; Stewarts Care DAC; Talbot Care Unlimited Company; The Rehab Group; and Western Care Association.

Examples of good practice observed by inspectors included:

• At a centre in Westmeath operated by St Hilda's Services, residents spoke positively about their broad range of interests and activities including swimming, horse riding, going to the gym, drama classes, basketball and gardening. One resident worked in a hotel and a day centre, and another worked one day a week in a charity shop. All residents were looking forward to a music concert at the weekend in a local theatre, and had tickets purchased for another show in the New Year.
• A resident said that they were very happy living in their home and described staff as ''great'', during an inspection of a centre in Dublin operated by St John of God Community Services CLG. The resident attended day services and also enjoyed a range of leisure and social activities including horse riding, travelling to the airport to watch the planes and visiting their friends and family.
• Surveys completed by residents at a centre in Dublin operated by Stewarts Care DAC were very positive. Residents indicated satisfaction with the service including the premises, meals and staff, and noted that they felt safe and were supported to make choices and decisions in their lives. One resident commented that they were very happy with their new home and the staff are very good. Residents had moved together from a congregated setting as part of the provider’s wider decongregation plan. Familiar staff supported the residents’ move to their new home.
   

Non-compliance that impacted on the delivery of care and support to residents was identified in 10 other centres.

The management of safeguarding allegations required improvement at a centre operated by Three Steps Limited. In addition, the provider was required to make improvements in managing residents’ risks, behavioural plans and in supporting residents’ development. 

Ineffective management of safeguarding incidents impacted on residents’ wellbeing at a centre operated by Prosper Fingal CLG. The provider was required to improve the management of residents’ risks, behavioural plans and in the provision of staff training.

Non-compliance was identified at a centre operated by St Joseph's Foundation with the provider required to make improvements in the management of safeguarding incidents.  A review of residents’ personal finances was required at a centre operated by Waterford Intellectual Disability Association CLG. At a centre operated by St John of God Community Services CLG, the condition of the premises presented potential health and welfare risks to residents.

At a centre operated by The Multiple Sclerosis Society of Ireland, concerns were raised about fire safety measures within the centre. Staffing arrangements and overall governance required improvements at a centre operated by The Rehab Group. The provider of a centre, Talbot Care Unlimited Company, were required to make improvements in to meet residents’ communications needs, while premises of a centre operated by Redwood Extended Care Facility Unlimited Company required changes to meet residents’ needs.

Finally, improvements were required in residents’ personal plans and goals at a centre operated by St Michael's House.