News
Report criticises standard of care at Spiddal nursing home
A nursing home in Connemara has been ordered to instigate a series of changes after inspectors identified several shortcomings, including some relating to inadequate staffing levels and health care risks.
Inspectors from Health Information and Quality Authority (HIQA), following an inspection of Áras Chois Fharraige, at Páirc, An Spidéal, were “very concerned that the provider was not ensuring that an adequate standard of evidence based care was provided to residents”.
They were also, “concerned that the provider had not completed actions required following most recent inspections within the agreed timeframes and previously agreed improvements which had been commenced had not been sustained.”
In its 38-page report, compiled following an unannounced inspection of the facility that took place over two days in September, HIQA issued an “immediate action plan” that listed six actions that had to be complied with immediately.
This latest inspection follows on an inspection in June, which was also critical of the nursing home.
“The inspectors reviewed the processes in place for the management of elder abuse and found that improvement was required in relation to the abuse policy, knowledge and understanding of elder abuse and management of behaviours that are challenging,” the inspectors’ latest report said.
It added: “The provider and person in charge had failed to manage a number of serious risks and the provider was requested to take immediate action to address these. The provider had put measures in place to protect the safety of residents, staff and visitors to the centre. However, there was insufficient hazard identification and controls put in place in relation to manual handling practices, smoking, access to dangerous substances and absconsions.
“The provider and person in charge had not taken measures to ensure that residents were protected by safe medication management policies and practices. Medication was not managed and administered safely. The inspectors identified some medication administration practices which were unsafe.”
The report found that medication errors “were not being suitably recorded and reviewed for learning and improvement of service”.
“The person in charge said that there had never been a medication error, although an inspector identified several medication errors in the course of the inspection,” it noted.
“The inspectors were not satisfied that each resident’s wellbeing and welfare was maintained by a high standard of nursing care and found that there were significant concerns in the management of nutrition, wounds, falls and epilepsy . . . Staff were not knowledgeable on the management of epileptic seizures. Staff had received no training in this area of care and there was no policy on care of residents with epilepsy.”
The inspectors report added: “The management of environmental risk, fire safety awareness and medication management were also identified as risks that required immediate action.
“The inspectors found that staffing levels and skill mix and staff supervision were not adequate and this impacted on the delivery of appropriate and safe care to residents.
“Issues relating to laundry services, privacy in shared bedrooms, provision of suitable recreational opportunities for all residents, staff recruitment, infection control and policies and procedures were also identified as non-compliant during this inspection.”
Significant state investment is required to address ‘shocking’ inequalities that leave cancer patients in the West at greater risk of succumbing to the disease.
A meeting of Regional Health Forum West heard that survival rates for breast, lung and colorectal cancers than the national average, and with the most deprived quintile of the population, the West’s residents faced poorer outcomes from a cancer diagnosis.
For breast cancer patients, the five-year survival rate was 80% in the West versus 85% nationally; for lung cancer patients it was 16.7% in the west against a 19.5% national survival rate; and in the West’s colorectal cancer patients, there was a 62.6% survival rate where the national average was 63.1%.
These startling statistics were provided in answer to a question from Ballinasloe-based Cllr Evelyn Parsons (Ind) who said it was yet another reminder that cancer treatment infrastructure in the West was in dire need of improvement.
“The situation is pretty stark. In the Western Regional Health Forum area, we have the highest incidence of deprivation and the highest health inequalities because of that – we have the highest incidences of cancer nationally because of that,” said Cllr Parsons, who is also a general practitioner.
In details provided by CEO of Saolta Health Care Group, which operates Galway’s hospitals, it was stated that a number of factors were impacting on patient outcomes.
Get the full story in this week’s Connacht Tribune, on sale in shops now, or you can download the digital edition from www.connachttribune.ie. You can also download our Connacht Tribune App from Apple’s App Store or get the Android Version from Google Play.
On the eve of completing his 150th marathon, an odyssey that has taken him across 53 countries, Loughrea’s Marathon Man has announced that he is planning to hang up his running shoes.
But not before Jarlath Fitzgerald completes another ten races, making it 160 marathons on the occasion of his 60th birthday.
“I want to draw the line in 2026. I turn 57 in October and when I reach 60 it’s the finishing line. The longer races are taking it out of me. I did 20 miles there two weeks ago and didn’t feel good. It’s getting harder,” he reveals.
“I’ve arthritis in both hips and there’s wear and tear in the knees.”
We speak as he is about to head out for a run before his shift in Supervalu Loughrea. Despite his physical complaints, he still clocks up 30 miles every second week and generally runs four days a week.
Jarlath receives injections to his left hip to keep the pain at bay while running on the road.
To give his joints a break, during the winter he runs cross country and often does a five-mile trek around Kylebrack Wood.
He is planning on running his 150th marathon in Cork on June 4, where a group of 20 made up of work colleagues, friends and running mates from Loughrea Athletics Club will join him.
Some are doing the 10k, others are doing the half marathon, but all will be there on the finishing line to cheer him on in the phenomenal achievement.
Get the full story in this week’s Connacht Tribune, on sale in shops now, or you can download the digital edition from www.connachttribune.ie. You can also download our Connacht Tribune App from Apple’s App Store or get the Android Version from Google Play.
From the Galway City Tribune – An impassioned plea for a ‘masterplan’ that would guide Galway City into the future has been made in the Dáil. Galway West TD Catherine Connolly stated this week that there needed to be an all-inclusive approach with “vision and leadership” in order to build a sustainable city.
Deputy Connolly spoke at length at the crisis surrounding traffic and housing in Galway city and said that not all of the blame could be laid at the door of the local authority.
She said that her preference would be the provision of light rail as the main form of public transport, but that this would have to be driven by the government.
“I sat on the local council for 17 years and despaired at all of the solutions going down one road, metaphorically and literally. In 2005 we put Park & Ride into the development plan, but that has not been rolled out. A 2016 transport strategy was outdated at the time and still has not been updated.
“Due to the housing crisis in the city, a task force was set up in 2019. Not a single report or analysis has been published on the cause of the crisis,” added Deputy Connolly.
She then referred to a report from the Land Development Agency (LDA) that identified lands suitable for the provision of housing. But she said that two-thirds of these had significant problems and a large portion was in Merlin Park University Hospital which, she said, would never have housing built on it.
In response, Minister Simon Harris spoke of the continuing job investment in the city and also in higher education, which is his portfolio.
But turning his attention to traffic congestion, he accepted that there were “real issues” when it came to transport, mobility and accessibility around Galway.
“We share the view that we need a Park & Ride facility and I understand there are also Bus Connects plans.
“I also suggest that the City Council reflect on her comments. I am proud to be in a Government that is providing unparalleled levels of investment to local authorities and unparalleled opportunities for local authorities to draw down,” he said.
Then Minister Harris referred to the controversial Galway City Outer Ring Road which he said was “struck down by An Bord Pleanála”, despite a lot of energy having been put into that project.
However, Deputy Connolly picked up on this and pointed out that An Bord Pleanála did not say ‘No’ to the ring road.
“The High Court said ‘No’ to the ring road because An Bord Pleanála acknowledged it failed utterly to consider climate change and our climate change obligations.
“That tells us something about An Bord Pleanála and the management that submitted such a plan.”
In the end, Minister Harris agreed that there needed to be a masterplan for Galway City.
“I suggest it is for the local authority to come up with a vision and then work with the Government to try to fund and implement that.”
Families queue up for school’s offer of free house
West has lower cancer survival rates than rest
Galway minors continue to lay waste to all opponents
Gardaí and IFA issue a joint appeal on summer road safety
Marathon Man plans to call a halt – but not before he hits 160 races
