Today, the Health Information and Quality Authority (HIQA) has published 33 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 33 inspections, inspectors found a generally good level of compliance with the regulations and standards in 27 centres operated by a number of providers including: St John of God Community Services CLG; St Joseph’s Foundation; St Michael's House; Steadfast House CLG; Stepping Stones Residential Care Limited; Stewarts Care DAC; Sunbeam House Services CLG; Talbot Care Unlimited Company; The Rehab Group; Three Steps Limited; Waterford Intellectual Disability Association CLG; Western Care Association.

Examples of good practice observed by inspectors included: 
 

• At a centre in Dublin operated by St Michael's House, staff had completed human rights training which according to staff had led to positive outcomes for residents. For example, staff advocated on behalf of residents for increased one-to-one activities and supported another resident to open their own bank account.
• At a centre operated by Steadfast House CLG in Monaghan, residents spoke about their work placements, and one resident with the support of the local training board was hoping to get a job. Another resident worked in a charity shop once a week, and spoke about the office work they did in their day service and felt proud that their work was valued.
• A centre operated by Stewarts Care DAC in Dublin was tailored to the resident's individual needs and interests, with guidance having been  sought to decorate the home in for example dementia-friendly colours to differentiate rooms. A large flag on the wall, framed football jerseys, along with red décor also reflected a resident’s r support for their favourite football team.
   

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

Poor governance was identified at a centre operated by Sunbeam House Services CLG. Residents’ wellbeing was impacted by safeguarding incidents, poor behavioural support plans and staffing. In addition, the provider was required to make improvements to fire safety measures and the premises.
 

Poor governance impacted on residents at a centre operated by Western Care Association. Improvements were required by the provider to uphold residents’ rights, minimise residents’ risks and improve their support plans.
 

A review of restrictive practices and improvements in fire safety were required at a centre operated by St Catherine's Association CLG. 
 

At two centres operated by St Michael's House, poor governance impacted on residents. Improvements were required in management of safeguarding incidents, residents’ support plans and staffing. At a centre operated by St John of God Community Services CLG, improvements were required in fire safety and managing risks for residents.