Mental Health Commission raises concern at Mayo facility
The Mental Health Commission has released an inspection regarding St Anne’s Unit at Sacred Heart Hospital in Castlebar.
One of the issues that came to light was that not all health professionals had up-to-date mandatory training.
Chief Executive of the Mental Health Commission, John Farrelly, explained: “While we recognize the challenges of recruitment and retention in the health sector, mandatory training is just that.
“You may not be permitted to work in certain settings, including approved mental health centers, if you do not have the critical training required.
“We are working with these approved centers to ensure they have a training schedule in place to ensure that all staff are properly trained as required.”
Mental Health Services Inspector Dr Susan Finnerty said that although the Covid-19 pandemic poses challenges and causes problems for some approved centres, staff must undergo mandatory training in order to provide safe care. to residents.
“It is vitally important that the physical health of residents is monitored and treated if necessary. Failure to do so puts the resident at risk of serious illness.
Here is a summary of the Castlebar facility inspection report:
St. Anne’s Unit is a 12 bed single storey unit adjacent to Sacred Heart Hospital in Castlebar.
The accredited center provides admission, assessment, care and treatment for two later life psychiatry teams which covered North and South Mayo.
There were only five residents in the unit and the overall bed occupancy rate in 2021 was 40%.
The center’s compliance rate increased from 93% in 2021 to 83% in 2022.
Three fire doors remained open. This was corrected when reported to staff.
A fire extinguisher was expired.
The service also managed this risk during the inspection week.
The radiators were unshielded and hot to the touch when inspected, posing a burn hazard to residents.
Not all staff have been trained in basic care, fire safety or dealing with violence and aggression.
The licensed center was found to provide services in a manner that met the needs of residents and their families, and that staff provided therapeutic activities and physical health monitoring tailored to residents’ needs.
Recreational activities included a light exercise group, quizzes, a musician on Mondays, puzzles, colouring, board games, movies, music, gardening, cards, television and arts and crafts.
Quality initiatives identified during the inspection included the creation of a ligation reduction sub-group to reduce ligations; and the introduction of a new patient information booklet in November 2021.
At the time of the inspection, a double lock system – a magnetic lock and a lock and key mechanism – was in place for the front door, which was a main emergency exit.
The approved centre’s justification for this measure was related to safety concerns for people with dementia.
However, at the time of the inspection, five people using the service were volunteers and did not have a diagnosis of dementia.
This risk was not listed in the risk register. This was one of the primary reasons for St. Anne’s risk management procedures being assigned a high risk rating.
Fire safety training was not up to date within the nursing department; 36% of nursing staff had not completed the relevant fire training at the time of the inspection.
In terms of corrective and preventive actions, staff have been encouraged to complete or complete all mandatory training.
Regarding the locking system, a risk assessment has been carried out and the locking system has been added to the local risk register.
Advice was also sought from the Maintenance Manager and HSE Firefighter regarding the modification of the lockout system and an update from the Firefighter was expected by the end of September 2022.
In the meantime, all staff hold the keys to the exit doors and have a code for the exit doors; they have undergone online fire training, while unannounced fire drills are carried out regularly by an inspector or an external trainer.
An emergency plan policy is also in place and specifies staff responses in the event of possible emergencies.