Today, the Health Information and Quality Authority (HIQA) has published 29 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 29 inspections, inspectors found a generally good level of compliance with the regulations and standards in 16 centres operated by a number of providers including: The Rehab Group; Peacehaven Trust CLG; S O S Kilkenny CLG; St Catherine's Association CLG; St Hilda's Services; St John of God Community Services CLG; St Joseph's Foundation; St Michael's House; Stepping Stones Residential Care Limited; Sunbeam House Services CLG; Talbot Care Unlimited Company and Terra Glen Residential Care Services Limited.

Examples of good practice observed by inspectors included:

• During an inspection of a centre in Kerry operated by the Rehab Group, a resident explained how they had set a goal to visit Nashville in the U.S.A. where Elvis was born. Staff told the inspector that the resident had planned the itinerary for their trip and chosen the members of staff that would accompany them. A key worker for this resident told the inspector how this goal had come about and that the resident was considering another significant trip for the following year and explained how he would be supported to explore this.
• Residents were planning to visit some Christmas markets during an inspection of a centre in Louth operated by St John of God Community Services CLG. One resident was part of the local Tidy Towns and was attending an awards ceremony for this. Some of the residents liked routine and only liked engaging in certain preferred activities. The inspector observed that staff members had introduced new experiences to one resident and when they indicated they did not like them, this was respected.
• Residents spoke about the activities they enjoyed such as spending time with their families, eating out, reflexology, massages and relaxing in their Dublin home operated by St Michael's House. They also enjoyed weekly visits from a therapy dog. One resident spoke about their personal goals, such as planning holidays. Residents told the inspector that they were satisfied with the supports they received to manage their finances and overall felt that they could exercise choice and control in their lives, and exercise their rights, such as voting.

Non-compliance that impacted on the delivery of care and support to residents was identified in 13 other centres.

Poor governance impacted on residents at a centre operated by Three Steps Limited. The provider had not acted to support all residents’ development or activities. Improvements were required in staffing to meet residents’ needs, their personal and behavioural plans and in fire safety measures in the centre.

Poor governance was identified at two centres operated by St Hilda's Services. In one centre, improvement was required by the provider in meeting a resident’s healthcare needs. Staffing in the remaining centre was not adequately resourced to meet residents’ needs.

Two immediate actions were issued to Orchard Community Care Limited due to poor governance identified at a centre. The provider acted during the inspection to address concerns over fire safety and maintenance measures within the centre.
Improvements were required across three centres operated by St Michael's House in areas such as fire safety and measures to protect against infection.

At two centres operated by Saint Patrick's Centre (Kilkenny)/trading as Aurora-Enriching Lives, Enriching Communities, improvements were required in different areas such as protecting residents’ finances, minimising risks and the premises.

Non-compliance was identified at three centres operated by St John of God Community Services CLG. Improvements were required in different areas such as fire safety, measures to protect against infection, and the premises of centres.

Finally, improvements were required to the premises of a centre operated by Peter Bradley Foundation CLG.