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Staff at a Tipperary nursing home were not promptly informed of the need for enhanced cleaning after an outbreak was confirmed, leading to the spread of infection to 11 residents and five staff, according to a Hiqa report.
Staff in Co Tipperary facility not ‘promptly informed’ of need for enhanced cleaning after outbreak confirmed The HSE did not ensure infection prevention and control and outbreak management guidance was implemented at the Cashel Residential Older Persons Services, an inspection report noted.
Photograph: iStock-operated nursing home in Co Tipperary failed to recognise the start of an infection outbreak that resulted in transmission from two residents to 11, and five staff, the State’s health watchdog has said. visited Cashel Residential Older Persons Services in March. They were informed that two residents had been unwell and had symptoms of an infection 24-48 hours previously, but were better.
“Following a review of the nursing notes, an immediate action was given to the staff nurse to inform public health that a possible outbreak of infection was in progress,” the Hiqa inspection report, published on Thursday, stated. Kaizen review: Impressive dim sum and a tantalising ‘secret menu’ at this north Dublin restaurant‘My old flat was 1,000 times better’: Leaks, damp and cracks in new Dolphin’s Barn homes The care environment and supportive equipment was “not managed in a way that minimised the risk of transmitting a healthcare-associated infection”.
The report noted that two residents experiencing symptoms of infection did not have their own toilet facilities, which meant “the virus could easily spread from an infected person to a healthy person”. A member of staff was also observed caring for residents without appropriate personal protective equipment. When the outbreak was confirmed, the cleaning staff were not “promptly informed that enhanced cleaning was required in the affected area, nor was there timely implementation of an appropriate disinfectant cleaning product”.
There was also incorrect signage at the entrance to the unit to alert staff and visitors to the appropriate precautions that were required. The nursing home was found to be non-compliant in six out of 16 regulations inspected by Hiqa. There were 59 residents living in the centre during the unannounced inspection on March 10th. Of the 50 inspection reports on residential centres for older people published by Hiqa, levels of noncompliance varied.
Fourteen centres were non-compliant with three regulations or less, and 10 centres were non-compliant with four or more regulations. Of these inspections, noncompliance was identified in areas such as staffing, governance and management, fire precautions, medicines and pharmaceutical services, healthcare, food and nutrition, residents’ rights, infection control, and premises. Where noncompliance with the regulations was identified, providers were required to submit compliance plans to demonstrate how they would make improvements.
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Infection Control Nursing Home Outbreak HSE Hiqa Healthcare-Associated Infection
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