Today, the Health Information and Quality Authority (HIQA) has published 27 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 27 inspections, inspectors found a generally good level of compliance with the regulations and standards in 15 centres operated by a number of providers including: Redwood Neurobehavioural Services Unlimited Company; St Catherine's Association CLG; St John of God Community Services CLG; St Michael's House; Stewarts Care DAC; Sunbeam House Services CLG; Talbot Care Unlimited Company and Western Care Association.

Examples of good practice observed by inspectors included: 

• At a centre in Louth operated by St John of God Community Services CLG, residents had been supported to become integrated into their community and were supported to have valued social roles. For example, two of the residents were involved in a community clean-up programme every week.
• At a centre operated by St Michael's House in Dublin, residents reported a high degree of satisfaction with staffing, residents’ choices, visitors and activities. A sample of responses included comments such as ‘I like the garden’, ‘the staff are brilliant’, and ‘of course I feel safe’.
• At a centre in Dublin operated by Stewarts Care DAC, residents’ meetings took place every week. Residents were supported to update each other on their news, discuss plans for the coming week and were supported to understand their right to safety at home. The meeting was facilitated by staff members who knew residents’ communication styles well. 

Non-compliances that impacted on the delivery of care and support to residents were identified in 12 other centres. 

Poor governance was identified at three centres operated by Sunbeam House Services CLG. At one centre, poor resident compatibility and insufficient safeguarding plans meant that residents were inadequately protected. Better staffing arrangements were needed to meet residents’ needs. Improvements were needed to the premises of the two remaining centres to ensure residents’ safety and needs would be met. 

Poor governance and management arrangements impacted residents at a centre operated by St Joseph's Foundation. Improvements were needed in residents’ healthcare, support plans, safeguarding practices and in respecting residents’ rights and choices.

Poor governance was identified at two centres operated by St Michael's House. Restrictive practices and poor management of safeguarding incidents impacted on residents’ safety and quality of life in these centres.

At two centres operated by St John of God Community Services CLG, improvements were needed in fire safety and premises to meet residents’ needs.

At a centre operated by the Rehab Group, improvements were needed in managing residents’ finances and their medications. Staff training to meet residents’ needs required improvement at a centre operated by St Hilda's Services.

Finally, better management of residents’ medications was required at two centres operated by Talbot Care Unlimited Company and Redwood Extended Care Facility Unlimited Company.