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Showing posts with label Hiqa inspections. Show all posts
Showing posts with label Hiqa inspections. Show all posts

Tuesday, July 12, 2016

Donie's Ireland daily news BLOG

HSE has taken over three residential care centres for 40 people with autism

IT FOLLOWS HIQA INSPECTIONS AT CARE CENTRES IN MEATH, WEXFORD AND KILDARE.

    

THE HSE HAS TAKEN OVER THREE RESIDENTIAL CARE CENTRES FOR PEOPLE WITH AUTISM AFTER AN HIQA INSPECTIONS FOUND SERIOUS FLAWS IN THEIR MANAGEMENT.

The centres had been under the control of the Irish Society for Autism (ISA) and have been inspected by health watchdog Hiqa during the past 18 months.
Prior to the HSE taking responsibility for these centres the ISA had been subject to increased monitoring activity, meetings with Hiqa and warning letters – with it made clear that changes needed to be made.
However, these measures did not result in a “sufficient improvement” and a decision was made to cancel the registration of the three centres.

WHAT WERE THE PROBLEMS?

The three centres in question are Cluain Farm in Meath, Dunfirth Farm in Kildare and Sarshill House in Wexford.
Between the three a total of 47 residents are housed between the three centres, with the majority (34) situated at Dunfirth Farm.
Dunfirth Farm was inspected five times between January and November of 2015.
During the inspections poor outcomes for residents were found in the areas of:
  1. Risk relating to health and safety, risk management, social care needs, safeguarding and safety, governance and management [and] use of resources and workforce.
  2. “Poor managerial oversight and governance arrangements” were also said to be an issue.
At the unannounced inspection of Cluain Farm in Meath it was found that significant improvements that had previously been recommended had not been implemented.
At the centre it was found that there was inappropriate guidance for the use of chemical restraint and safeguarding measures to ensure that residents were protected and felt safe were inadequate.
At the centre in Wexford it was also found that Hiqa recommendations had not been implemented.
Areas of non-compliance at this centre included poor management of staffing resources, poor governance and staff not being adequately trained to meet the needs of the residents.

Here is a county by county Irish breakdown of the rise in house prices for the last three months

  

A NATIONWIDE SUPPLY SHORTAGE HAS FUELLED A RISE OF OVER 2% IN THE PRICE OF THE AVERAGE HOUSE IN THE LAST THREE MONTHS, ACCORDING TO A NATIONAL SURVEY CARRIED OUT BY REAL ESTATE ALLIANCE.

The majority of counties in the country recorded price increases in the second quarter this year, the latest Real Estate Alliance Average House Price Survey has found.
The group claims it is the lack of supply of suitable properties in a scarce market that has caused these rises, exacerbated by the effect of would-be commuters moving ever further from Dublin to acquire affordable homes.
“We are seeing firms who are in business for 50 years who have never experienced such a low level of supply, and this is responsible for causing sharp increases in prices in some areas over the past three months,” said REA Chairman Michael O’Connor.
The average three bed semi nationally now costs €195,361, an increase of more than €4,000 (+2.18%) since the end of March. This is a rise of 4.49% against the same time last year.
The REA Average House Price Survey concentrates on the sale price of Ireland’s typical stock home, the three-bed semi.
While prices in Dublin city grew by 1.4% to €363,333 since March, competition for scarce housing below the Central Bank’s €220,000 deposit limit in both the inner and outer commuter areas is fuelling an inflationary market.
Prices in commuter counties, Cork and Galway, have risen by €5,000 to €214,588 (+2.4%) while those in the rest of the country have increased by over €3,000 to €128,768 (+2.75%).
Three-bed semi prices in Kilkenny city rose by €20,000 or 12.5% in the past three months, a figure that is entirely driven by record low supply, according to Michael Boyd of REA Boyds.
“Our analysis of the Price Register tells us that there are 15 less units per month selling in the county than this time last year – and that this is the lowest level since these records began,” he said.
“We are finding that demand is strong, mainly from loan-approved returned emigrants or Eastern European buyers.
“We desperately need new building to start, especially as prices for quality stock are now well into viable levels for builders to commence.”
As the flight to another of the outer commuter counties continues, prices in Laois have risen by €10,000 (+8%) in the past three months.
Prices in Kildare (€242,500) have remained static in the four main towns, due to a low supply of suitable housing stock, combined with a relatively higher price to neighbouring counties.
In contrast, Meath has now broken the €200k barrier (€201,250) following a 3.21% growth in three months, as Dublin-based commuters move out to houses they can afford under the Central Bank’s deposit guidelines.
In Wicklow, prices in Blessington have risen from €240,000 to €265,000 in a three-month period, a rise of 10.42%, with agent REA Murphys advising that there is a bubble in the three-bed semi market.
Prices in the county as a whole have gone up by 4.44% to €235,000 over the past three months.
Louth continues to act as a microcosm of commuters travelling further in search of affordable homes with Dundalk enjoying a rise of 11.1% in three months (€150,000) while pricier homes in Drogheda (€203,000) have risen by just over the national average at 2.78%.
“There is no doubt that the major factors affecting the Irish property market at the moment are supply of housing, the Central Bank restrictions, the banks’ mortgage lending policies and high rents,” said REA Chairman Michael O’Connor.
“We have seen each of these influence the market to different degrees over the past 15 months.
“The Central Bank restrictions were brought in to calm a market bubble but we are now seeing the lack of supply very definitely fueling house price inflation on its own.
“We now need to address the roadblocks in the way of building new suitable family homes.
“We feel that the State ultimately needs to implement a 50% vat reduction on new homes, backed up by rebate schemes on local development charges on a nationwide basis.
“Nama need to accelerate sales of land on the open market as well as selling through loan sales.
“In conjunction, there is a need to fast track planning within the correct zoning for urban land bought within the next two years.”
In North County Dublin, the market has stagnated due to a lack of new builds while south County Dublin has grown by 2.19% to €350,000 and Dublin city only by 1.4% to €363,333.
“Where property is moving in Dublin it is due to supply fueling rises or investors looking to exit the market, even in spite of increasing rents,” said Mr O’Connor.

Plenty of fruit and veggies will make you happy. 

ONE KEY TO HAPPINESS IS IN YOUR FRUIT BASKET, SAYS A NEW STUDY.

    

THE ADAGE OF “AN APPLE A DAY” HAS NOW GOT NEW BITE.

Everybody knows that eating fruits and vegetables is good for you in the long run as it reduces risks for cancer and heart attacks. But anew study found that munching produce boosts happiness even quicker. The associated feel-good factor kicks in within two years. Granted, that’s still not fast as other things will make you feel better, like, say, a bag of Doritos or a vodka and tonic.

BUT YES DIVE INTO THAT KALE NOW FOR YOUR HEALTH’S SAKE.

So urge researchers who followed 12,385 randomly selected subjects as they kept food diaries and had their psychological well-being monitored. The collaborative effort was by the University of Warwick, England, and the University of Queensland, Australia.
Subjects were observed in 2007, 2009 and 2013. Changes in their income, employment and personal factors were figured into findings. Happiness benefits were detected for each extra daily portion of fruit and vegetables — “tinned, frozen, dried and fresh,” per the study — up to eight portions per day. “The fruits and vegetables do not have to be prepared in any special way,” Warwick researcher Andrew Oswald told the Daily News. “However, French fries will not count.”
Many experts suggest eating 5-9 servings of fruits and vegetables on a daily basis. The more produce that was consumed, the bigger the feel-good increase.
Subjects who changed from eating almost no fruit and vegetables to munching eight portions a day experienced an increase in life satisfaction equivalent “to moving from unemployment to having a job.”
Veggies are a source of a “more immediate” feel-good boost.
“Eating fruit and vegetables apparently boosts our happiness far more quickly than it improves human health,” said Oswald.
“People’s motivation to eat healthy food is weakened by the fact that physical-health benefits, such as protecting against cancer, accrue decades later,” Oswald added. “Well-being improvements … are closer to immediate.”
Further study is needed to explain why eating fruits and veggies makes people feel good. A possible explanation is that fruits and veggies are rich in antioxidants, substances in the body that other research has linked with optimism.
“Perhaps our results will be more effective than traditional messages in convincing people to have a healthy diet,” said researcher Redzo Mujcic. “There is a psychological payoff now from fruit and vegetables, not just a lower health risk decades later.”
Good luck with that. Americans, at any rate, aren’t anywhere close to eating fruits and veggies in recommended numbers. And, again, French fries don’t count.

Increased cancer risk before and after diabetes diagnosis

Supports the theory of shared risk factors?

     

PEOPLE WITH DIABETES MAY HAVE AN INCREASED RISK OF DEVELOPING CANCER BEFORE AND IMMEDIATELY AFTER THEIR DIAGNOSIS, A NEW STUDY HAS FOUND.

Previous research indicates that type 2 diabetes could increase the risk of developing a number of types of cancer, with the highest risk appearing to be soon after a diabetes diagnosis.
Canadian researchers decided to investigate this further. They looked at the incidence of cancer in over one million adults during different time points. They found that those with diabetes were 1.23 times – that is 123% – more likely to have been diagnosed with cancer during the 10 years before their diabetes diagnosis compared to people without diabetes.
“This supports existing hypotheses that shared risk factors may be contributing to both cancer and diabetes diagnoses,” commented Dr Iliana Lega of the University of Toronto.
The study also found that the incidence of cancer was much higher among people with diabetes in the first three months after their diabetes diagnosis. However this increased risk did not appear to extend past three months.
“This may in part be explained by increased healthcare visits and screening tests following a diagnosis of diabetes,” Dr Lega noted.
She warned that the increasing incidence of diabetes may lead to more cases of cancer as well.
“There is excellent evidence that diabetes can be prevented and that metabolic changes leading to diabetes can be reversed with lifestyle changes. Similarly, diet and exercise interventions have also been shown to reduce cancer risk and improve cancer outcomes in the general population.
“Our findings are important because they underscore the need for further research that examines the impact of exercise and healthy diet on cancer risk specifically in patients with, or at risk for, diabetes,” she commented.

You can now charge your phone just by going for the wee wee’s 

“that’s if you fancy it”

     

A MINIATURE FUEL CELL COSTING NO MORE THAN £2 WHICH CAN GENERATE ELECTRICITY FROM A SINGLE VISIT TO THE TOILET HAS RECHARGED A SMARTPHONE FOR THE FIRST TIME.

Using “pee power”, scientists have been able to provide three hours of phone calls for every six hours of charge time – all from 600ml of urine.
The microbial fuel cell (MFC) technology provides enormous potential to enable people to stay connected in areas that are off grid using urine.
The world first has been developed at the University of the West of England in Bristol by Professor Ioannis Ieropoulos and his team.
Prof Ieropoulos said: “We are excited to announce several global firsts – this development was possible by employing a new design of microbial fuel cells that allowed scaling up without power density losses.
“Although it was demonstrated in the past that a basic mobile phone could be charged by microbial fuel cells, the present study goes beyond this to show how, simply using urine, a microbial fuel cell system successfully charges a modern-day smartphone.”
Several energy-harvesting systems have been tested and results have demonstrated that the charging circuitry of commercially available phones may consume up to 38% of energy on top of the battery capacity.
Each of the fuel cells costs between £1 and £2 and works by using natural biological processes of “electric” bacteria to turn urine into electricity.
Urine passes through the microbial fuel cell for this reaction to happen, with the bacteria then generating electricity.
This can be stored or used to directly power electrical devices.
The fuel cell measures just one inch square in size and uses a carbon catalyst at the cathode which is derived from glucose and ovalbumin, a protein found in egg white.
This catalyst is a renewable and much cheaper alternative to platinum, which is commonly used in other microbial fuel cells.

Monkeys have long been using tools for almost 700 years,

ARCHAEOLOGISTS NOW DISCOVER

     

BRAZILIAN CAPUCHINS HAVE BEEN USING STONE TOOLS TO CRACK OPEN CASHEW NUTS ON A SANDSTONE ‘ANVIL’ (PICTURED ABOVE) FOR AT LEAST 700 YEARS, AND THE USE OF TOOLS WAS ONCE SEEN AS A KEY DIVIDING LINE BETWEEN HUMANS AND THE REST OF THE ANIMAL KINGDOM.

But new research has found it’s actually so easy that a monkey can do it, as the saying goes.
Archaeologists have discovered capuchin monkeys in Brazil have been using stone hammers and anvils to break open cashew nuts for at least 700 years.
And they suggested that humans might have discovered that the nuts were good to eat after stumbling across the site of the monkeys’ “cashew-processing industry”.
But the capuchins appear to be hidebound traditionalists, always opening the nuts in the same way, rather than attempting to invent a better way of doing it.
Dr Michael Haslam, lead author of a paper about the research in the journal Current Biology, said: “We have new evidence that suggests monkeys and other primates out of Africa were also using tools for hundreds, possibly thousands of years.
“This is an exciting, unexplored area of scientific study that may even tell us about the possible influence of monkeys’ tool use on human behaviour.
“For example, cashew nuts are native to this area of Brazil, and it is possible that the first humans to arrive here learned about this unknown food through watching the monkeys and their primate cashew-processing industry.”
The monkeys use hard quartzite stones as hammers and flat sandstones as anvils when breaking open the nuts.
And they also tend to do this in the same places – usually close to the trees that produce them – partly because the right kinds of stones are already laid out like “a set of cutlery in a restaurant”.
The archaeologists excavated one site down to a depth of 70cm, where they found a total of 69 stones with signs of damage caused by the repeated pounding and the residue of cashews.
A number of small pieces of charcoal found with the stones were then carbon dated to about 700 years ago.
The research suggests capuchins have not managed to build on the work of the original monkey inventor who pioneered the technique.
“In capuchin terms, 700 years is about 100 generations. The same thing in human terms would be about 2,500 years,” Dr Haslam said.
“They [the capuchins] tend to use the same types of materials in the same ways, unlike humans who have in the last 2,500 years have gone from obviously the Iron Age to where we are now.”
The populations of species that have showed significant promise as tool-makers – apart from humans – have all been reduced by our domination of the planet.
And Dr Haslam said this meant it was unlikely that any other animal would come to rival our success with tools.
“The potential for there to be a chimpanzee who would invent a microwave or a Boeing 747 really isn’t there anymore,” he said.
“We have to accept that we are the chimpanzee that did that and live with that.”      

Thursday, February 11, 2016

Donie's Ireland daily news BLOG update

Can Fine Gael ‘prop up’ FF-led coalition, asks the Irish media?

‘UNDER NO CIRCUMSTANCES ARE WE GOING IN AS ONE LEG ON THREE-LEGGED STOOL FOR FG OR ANYONE ELSE’

    
“We absolutely aim to be the lead party, and under no circumstances are we going in as one leg on a three-legged stool for Fine Gael or indeed with anybody else – and that is emphatic.
Fianna Fáil justice spokesman Niall Collins has said he would not have a problem with Fine Gael “propping up” a Fianna Fáil-led government.
Mr Collins said Fianna Fáil was contesting the election to again become the largest political party in the country, with a total of 71 candidates running in 40 constituencies.
“We absolutely aim to be the lead party, and under no circumstances are we going in as one leg on a three-legged stool for Fine Gael or indeed with anybody else – and that is emphatic,” he said.
Mr Collins said if Fianna Fáil ended up as the biggest party after the election, “well then that’s a different kettle of fish”.
Asked about the possibility of bringing Fine Gael into government in those circumstances, Mr Collins continued: “If we’re the biggest party, if they want to come in and prop us up, that’s a different kettle of fish…something I wouldn’t have a problem with”.

DIFFERENT ETHOS

He insisted Fianna Fáil would not “prop up” Enda Kenny as taoiseach or a Fine Gael-led government, saying Fianna Fáil had an entirely different ethos.
“Fine Gael stands for the richest and the wealthiest in society. The policies that they’ve implemented over successive years in Government now over the last five years and their budgets have impacted disproportionately on the people who can least afford to pay,” he said.
“It has always been our ethos as a republican party, fairness and equality in terms of our policies…So there is a huge divergence.”

THE NATIONAL INTEREST?

He said Fianna Fáil always acted in the national interest.
Mr Collins was speaking at his party’s election headquarters on Wednesday following the launch of Fianna Fáil’s crime policy.
The party’s director of elections Billy Kelleher told The Irish Times in November that the party, which currently has 21 seats, could secure about 40 “on a very good day”, while more than 35 would represent a major achievement.
The minimum number of seats required to form a government in the next Dáil will be 79.

The Tánaiste Joan says: No seat is safe in this General Election except mine?????

   

THE TÁNAISTE JOAN BURTON SAYS “NO SEAT IS SAFE” IN THE UPCOMING GENERAL ELECTION.

The Labour Party are continuing their pitch to the people with their plans for economic and social progress should they be re-elected.
The party are attempting to return to a coalition government, but face a difficult task to come near the 37 seats won in 2011.
On a threat to Labour seats from both Sinn Féin and Fine Gael, Labour leader Joan Burton told Newstalk Breakfast: “It is really the month of living dangerously and you have to be very robust and very tough”.
“On certain issues, Fine Gael has converted, yes, to the Labour Party view – they now accept that the USC was a second income tax and that its reform is a vital part of our recovery in the future.”
She also suggested that Labour candidates would be safe from Fine Gael.
On whether Fine Gael may take Labour Minister Alex White’s seat in Dublin-Rathdown, Ms Burton said: “Fine Gael won’t take Alex’s seat, because what have Fine Gael to offer?”.
But at the same time, she admitted: “No seat is safe in this election for any party”, but when asked if her own seat was safe, she replied: “Absolutely”.
However she added: “I need the number ones and I need the support of all the people who support me.”

‘Humour is the key to a happy marriage’

    

ACTORS BEN STILLER (L) AND CHRISTINE TAYLOR ATTEND THE “ZOOLANDER 2” WORLD PREMIERE AT ALICE TULLY HALL ON FEBRUARY 9, 2016 IN NEW YORK CITY.

Actor Ben Stiller credits a good sense of humour for his happy marriage.
The funny man wed actress Christine Taylor over 15 years ago, and the couple is still going strong.
Looking happier than ever at the New York premiere of Ben’s new movie Zoolander 2 on Tuesday, they were happy to chat to the media about what keeps the romance alive.
“I think you got to laugh,” the actor told Entertainment Tonight when asked for the key to a happy Hollywood marriage, “because, you know, after a while life is life, you know? We all have to deal with what life throws at us, so you got to have a sense of humour about it. If you can share that, at the end, it makes a huge difference.”
Ben and Christine, 44, married in May, 2000 after meeting on the set of TV show Heat Vision and Jack, and Ben previously opened up to Parade magazine about the moment he realised the actress was the woman he wanted to spend the rest of his life with.
“(Our) relationship was a gradual thing that happened over a quick period of time, maybe seven or eight months,” he said. “We just started hanging out with each other and it developed into, ‘Wow, this feels great. I really like this person. I think I love this person. I really do – I love this person.’ It hit me out of the blue.”
The couple, who star in the Zoolander sequel, brought their two children, 13-year-old daughter Ella and 10-year-old son Quinlin, to the premiere – and the little boy stole the show from his parents.
As the family gathered together for the awaiting photographers on the red carpet, Quinlin did his best ‘Blue Steel’ stare, becoming the perfect mini-me to Ben’s Zoolander model character.

A new pill ‘could stop people committing suicide in just seven days’

SCIENTISTS NOW CLAIM

 

If their findings are validated by a larger group of subjects, the pill could be the answer to stopping suicidal thoughts
The new findings could provide a life-saving pill.
Scientists are developing a pill they claim can stop people from committing suicide .
Early results show how it can stop people from having suicidal thoughts in just seven days thanks to the use of opioids – the brain’s natural ‘feel good’ chemical.
Researchers gave low doses of an opioid to a group of 40 people deemed in danger of taking their own lives and their suicidal thoughts dropped by half.
By comparison a second placebo group experienced virtually no change during the month-long trial.
The tests, which were carried out at Washington State University in America, used an opioid called buprenorphine, traditionally used as a pain killer.
Results indicated the patients had a reversal of suicidal thoughts in just a week, according to the New Scientist
A Breakthrough: Usually it takes at least six weeks for medication to kick in
If the drug is validated in larger studies it could become the ever first fast-acting anti-suicide drug.
It can take at least six weeks for traditional methods such as counselling or antidepressants to have an affect.
Read more: Stephen Fry was suicidal and doctors wanted to section him
The development comes as new figures show suicide rates among women in the UK are up by 14 per cent.
Figures last week from the Office of National Statistics showed there were 1,181 female suicides in England during 2014 – a 14 per cent increase from the year before and the highest rate since 2005.
Read more: Student rate rises 3% in England – but it’s falling in other UK countries
Overall though in 2014 there was a drop in the number of total suicide, with 6,122 in the UK, down from 6,242 the previous year.
The figures showed Northern Ireland has the highest number in the UK with 16.5 suicides per 100,000 head of population followed by Scotland on 14.5, England on 10.3 and Wales on 9.2.

Parts of intellectual disability centre in Kildare to shut after Hiqa inspections

UNITS TO SHUT AT ST RAPHAEL’S CENTRE IN KILDARE RUN BY ST JOHN OF GOD COMMUNITY SERVICES

   
St John of God Community Services regional director Phil Gray said the improvements required were accepted fully and that corrective action plans had been submitted to Hiqa.
Parts of a Kildare-based centre for people with intellectual disabilities are to be closed after inspections found serious concerns over their welfare and health and safety.
The Health Information and Quality Authority (Hiqa) carried out 10 unannounced inspections at the St Raphael’s centre run by the St John of God Community Services in north Kildare last year after earlier inspections found major concerns.
Some 137 residents in total are accommodated on the site in seven designated centres.
It said the inspections found evidence of poor institutional practices, poor outcomes for residents and areas of risk to residents relating to safeguarding and health and safety.
Poor managerial oversight and governance arrangements were also a recurrent finding in these designated centres, Hiqa said.
“Due to the seriousness of the concerns, Hiqa issued a series of immediate actions, warning letters and held regulatory and escalation meetings with the provider and members of senior management.
“Due to a failure of the provider to implement effective improvements for residents, Hiqa issued notices of proposal to cancel the registration of three of the centres on this campus.”
Safety and welfare
Hiqa said the provider subsequently issued plans for the closure of one designated centre, and transitional plans to provide alternative living arrangements for a number of other residents which addressed their safety, welfare and quality of life.
“The most recent inspections have confirmed that the provider has undertaken substantive changes in governance and management across this campus.”
In one centre, inspectors found a high level of reported accidents, incidents and near misses.
“Inspectors found that in the four months since the previous inspection there had been 111 recorded incidents. These incidents ranged in severity and included instances of residents hitting other residents, resident falls and suspected falls, residents grabbing/hitting out at staff, residents’ self-injurious behaviour and unexplained injuries to residents.
“The provider had failed to put in place adequate control measures to reduce or prevent adverse incidents and events from reoccurring since the previous inspection.”
In one serious incident, a resident exhibited “complex behaviours and had ingested an inedible object”.
Residents continued to be exposed to “an unacceptable level of risk”.
One of the 10 reports published by Hiqa on Wednesday said the system of health and social planning was “not effective to support residents’ health and social care needs on a consistent basis”.
Insufficient staff? Staff numbers were also very insufficient.
Inspectors were “very concerned” in one case that there were systems in place to protect the residents from financial abuse.
In another instance, staff did not have a clear understanding of which residents had epilepsy and of whether they had been prescribed emergency rescue medication.
St John of God Community Services regional director Phil Gray said the improvements required were accepted fully and that corrective action plans had been submitted to Hiqa.
“In the intervening months, staff at the designated centres together with members of the management team, who are committed to the provision and development of quality person-centred residential services, have brought about significant improvements in the quality of life of the residents in these designated centres.”
The service was also working in partnership with the HSE and with the residents and their families to prioritise the transitioning of residents from these designated centres.