Today, the Health Information and Quality Authority (HIQA) has published 20 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 20 inspections, inspectors found a generally good level of compliance with the regulations and standards in 12 centres operated by a number of providers including: Saint Patrick's Centre (Kilkenny)/trading as Aurora-Enriching Lives, Enriching Communities; St Hilda's Services; St Michael's House; Talbot Care Unlimited Company; The Cheshire Foundation in Ireland; the Rehab Group; and Western Care Association.

Examples of good practice observed by inspectors included: 

• At a centre in Kilkenny operated by Saint Patrick's Centre (Kilkenny)/trading as Aurora-Enriching Lives, Enriching Communities, the premises had been adapted to meet residents’ needs. In the kitchen, part of the counter top could be adjusted in height, so that residents in wheelchairs could access this area with ease. Outside was a very well-kept garden area with raised flower beds and a poly tunnel.
• Residents’ representatives spoke positively about the service received by their family members at a centre operated by St Hilda’s Services in Westmeath. Family members described the service in very positive terms and that residents looked forward to going to the centre for respite breaks.
• At a centre operated by St Michael's House in Dublin, a photographic diary showed activities enjoyed by residents both in the centre and local community. There were photographs of residents dining out in local cafes, going for walks along the beach front, attending musicals at theatres, shopping in their local supermarket for groceries and helping out with household duties. Other photographs showed residents enjoying key celebrations such as birthdays, Easter and St. Patrick’s day.

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

Poor governance was identified at a centre operated by the Children's Sunshine Home, with improvements needed in the management of restrictive practices and the premises.

At a centre operated by Talbot Care Unlimited Company, poor governance impacted on residents’ needs. Improvements were required to ensure that the provider could meet residents’ healthcare needs and had effective fire safety measures at the centre.

Poor governance was identified at three centres operated by St John of God Community Services CLG. Across these centres, improvements were needed in residents’ activities and developments, and the suitability of the premises for residents.

At a centre operated by St Michael's House, improvements were needed in areas such as the management of residents’ medications and staff training. A centre operated by the Rehab Group required improvements in fire safety measures and the premises, to meet residents’ needs. 

Finally, at a centre operated by Sunbeam House Services CLG, improvements were required in the living arrangements for residents.