Leo Varadkar (Dublin West, Fine Gael) | Oireachtas source

The Government is very committed to the protection and safety of our most vulnerable citizens and placed regulation and inspection of residential disability centres on a statutory footing in November 2013. Every person who uses disability services is entitled to expect and receive care of the highest standard and to live in dignity and safety. People with a disability should be able to maximise their potential and live rich and fulfilling lives.

Compliance with HIQA standards for disability residential centres is a requirement under the service level arrangements between the HSE and voluntary service providers. A total of 66% of designated centres for people with a disability were inspected by HIQA by the end of quarter 1 in 2015, including inspections triggered by complaints or allegations of mistreatment. The lessons learned from them are continuing to improve the quality of services. Clients and their families can be assured that this regulatory regime is being rolled out across all residential facilities for people with a disability.

HIQA has reported evidence of very good practice in the delivery of many residential services to people with disabilities where the support and care needs of residents have been prioritised and there is a strong focus on the needs of service users. While HIQA’s findings, in some cases may make for difficult reading, they serve as evidence that the regulatory process works effectively and in the interests of protecting vulnerable people in the care of the State. In that respect, for example, it is noted that HIQA’s most recent report on Áras Attracta has found significant improvements in the lives of many residents.

The Department of Health has requested the HSE to develop action plans to address cases where HIQA has raised serious concerns regarding the level of care people with a disability are receiving in a number of disability centres, including safeguarding the human rights of residents.

The HSE is implementing a comprehensive change programme of measures to improve the quality and safety of residential services for people with disabilities. Much work remains to be carried out on an ongoing basis to ensure all facilities comply with disability residential standards. While this programme will be challenging for the HSE, it is crucial in safeguarding vulnerable people in the care of the State.

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