Extracts from the report
• St Anne's Child & Adolescent Unit, Galway
"As one of only two residential child and adolescent mental health services in the country, the Inspectorate was astounded at the lack of investment and development for this unit. The service recently received written correspondence from the general manager regarding budgetary deficits. This has completely demoralised the team.
"There have been a number of restrictions imposed. These include no automatic replacement for any vacant posts, purchase of any equipment with a value in excess of €1,000 must be approved in advance by the local health manager, all routine maintenance is to cease and an immediate implementation of a 10 per cent reduction in travel has to be instituted and all staff training and development was to be curtailed to the year end."
• St Finan's Hospital, Killarney, Co Kerry.
"The decor of the unit [ St Paul's] was drab and there were areas of the unit where the plaster had fallen off the walls and ceilings and where mildew was visible. The dormitory area was extremely cramped and had insufficient space for 12 beds. The unit was stuffy and the ventilation system was inadequate. The unit needed to be repainted and upgraded."
• St Luke's Hospital, Clonmel, Co Tipperary
"There is no multi-disciplinary team input into this unit [ St Clare's]. Staff reported that the consultant psychiatrist visits weekly or more often if requested and the NCHD [ non-consultant hospital doctor or junior doctor] visits the unit daily. Yearly physical and mental state reviews are conducted. There is no access to a social worker, occupational therapist or clinical psychologist. The nursing staff assigned to the unit provide the main care to the patients on the unit."
• Our Lady's Hospital, Navan, Acute Unit
"The treatment and recovery room is combined. Within the room there is also the crash trolley for the unit and a fridge for storing medication. The room is used as an interview room at times. There is no dedicated waiting room. There is a multi-functional room that is used for other purposes. It was reported that there have been plans to renovate the suite to make the treatment room and recovery room separate but the plans are not being progressed."