Individual assessments and personal plan (Regulation 5) Written policies and procedures (Regulation 4) Complaints procedures (Regulation 34) Statement of purpose (Regulation 3) Fire precautions (Regulation 28) Residents’ rights (Regulation 9) Medicines and pharmaceutical services (Regulation 29) Factors associated with higher non-compliance Size of centre Larger designated centres those with ten or more residents were more likely – – to have a higher proportion of major or modearte non-compliant outcomes. These larger centres were home to about 70% of residents of inspected designated centres. Operating in isolation Small providers (with 4 or fewer designated centres) were more likely to have had higher levels of non-compliance. This negative effect was mitigated if the providers were members of an umbrella body. Regional and inspector variation In the National Disability Authority’s sample, both specific regions and specific inspectors were statistically significant predictors of compliance levels. Therefore, there was variation both between inspectors and between regions in the sample. Factors with no influence on compliance levels The following issues were tested for in the National Disability Authority sample but showed no impact on compliance levels: the type of disability catered for by the service whether funded under section 38 versus section 39 of the Health Act whether the service provided respite or not announced or unannounced visit whether or not the designated centre was HSE run (once the size of centres was accounted for) being run by one of the largest five disability providers in Ireland whether the designated centre already had residents or not, or if there were vacancies
Individual assessments and personal plan (Regulation 5) Written policies and procedures (Regulation 4) Complaints procedures (Regulation 34) Statement of purpose (Regulation 3) Fire precautions (Regulation 28) Residents’ rights (Regulation 9) Medicines and pharmaceutical services (Regulation 29) Factors associated with higher non-compliance Size of centre Larger designated centres – those with ten or more residents – were more likely to have a higher proportion of major or modearte non-compliant outcomes. These larger centres were home to about 70% of residents of inspected designated centres. Operating in isolation Small providers (with 4 or fewer designated centres) were more likely to have had higher levels of non-compliance. This negative effect was mitigated if the providers were members of an umbrella body. Regional and inspector variation In the National Disability Authority’s sample, both specific regions and specific inspectors were statistically significant predictors of compliance levels. Therefore, there was variation both between inspectors and between regions in the sample. Factors with no influence on compliance levels The following issues were tested for in the National Disability Authority sample but showed no impact on compliance levels: the type of disability catered for by the service whether funded under section 38 versus section 39 of the Health Act whether the service provided respite or not announced or unannounced visit whether or not the designated centre was HSE run (once the size of centres was accounted for) being run by one of the largest five disability providers in Ireland whether the designated centre already had residents or not, or if there were vacancies