Further action needed for safe care at Tusla unit- HIQA

An unannounced inspection by the Health Information and Quality Authority (HIQA) of a Tusla-run Special Care Unit (SCU) in May found that additional action was needed to guarantee safe and effective care for the young residents. HIQA's Chief Inspector of Social Services requested a compliance plan with a three-day deadline for Tusla to address the issues identified.

Despite taking immediate action to address some failings, Tusla stated that further action was required to meet regulatory requirements. The service has reduced its population to four young people due to staffing challenges, with absenteeism at approximately 35% compared to 20% across other Tusla SCUs. Tusla CEO Kate Duggan acknowledged the challenging situation and commended the staff for their efforts and resilience.

HIQA inspectors expressed positive sentiments from the young people about their experience in the unit, including understanding decisions made about their care and expressing pride in their progress. However, the inspection also highlighted significant risks related to staffing levels, skills, and concerns about compromising care quality, particularly following the introduction of another young resident.

The report recommends introducing Closed Protection Personnel (security staff) to manage violence, harassment, and aggression. Tusla is implementing its Special Care Strategic Plan, which includes the recommendations from the External Review of Special Care 2025, aiming to increase special care capacity and strengthen services by opening three new purpose-built step-down units for young people transitioning from Special Care units by early next year.