Quality Framework
Purpose and Vision
Our Quality Framework ensures that all services delivered by our organisation are safe, person-centred, inclusive, and fully compliant with HIQA regulations and national disability policies. We aim to foster continuous improvement, uphold dignity and respect, and deliver excellence in care to people with complex physical and intellectual disabilities.
Governance and Leadership
- Designated PICs/Clinical Leads and PPIMs for each centre/Service
- Central Quality Governance Committee chaired by a Company Director.
- Monthly governance meetings with reporting on incidents, audits, complaints, and staff compliance
- Policies and procedures reviewed annually or in response to learning/incidents
Person-Centred Planning and Rights-Based Approach
- Individualised Personal Plans reviewed at least quarterly
- Clients involved in all decisions affecting their lives, from activity schedules to risk planning
- Respect for privacy, autonomy, communication needs, and preferred routines
- Use of advocates and social prescribers where appropriate
Clinical Governance and Risk Management
- Individual and centre-wide risk registers maintained and reviewed quarterly
- Clinical care plans for epilepsy, PEG feeds, mobility, communication, and all other medical requirements.
- Incident and near-miss reporting system with quarterly analysis
- Behaviour Support Plans with positive behaviour approaches
- Weekly MDT reviews for clients with complex needs
Auditing and Monitoring
- Monthly internal audits: Medication, Health & Safety, Care Plans, Infection Control, Fire Safety which all inform the service wide and local Quality Improvement Plans which have oversight by management
- External audits annually or per HSE agreement
- Audit outcomes tracked with actions assigned and deadlines monitored
- Quality Improvement Plans (QIPs) generated from all audits, inspections, or feedback
Staff Training and Development
- Mandatory and refresher training tracked monthly
- Induction training for all new hires
- Additional training based on client need (e.g., epilepsy, PEG care, trauma-informed care)
- Supervision every 8 weeks and annual appraisals
Service User and Family Engagement
- Family meetings at admission, quarterly, and upon request
- Surveys and satisfaction check-ins
- Full and complete inclusion of clients in interviews, team meetings, and feedback sessions
- Full and complete inclusion of Client input into menus, décor, outings, and activities
HIQA and Statutory Compliance
- All services registered and compliant under Health Act 2007, where this is not appropriate all services will comply with HIQA standards as per internal review systems.
- Readiness for inspections through a rolling compliance checklist
- PIC and team supported to act on HIQA feedback and implement recommendations
Continuous Improvement
- Organisation-wide QIP updated quarterly
- Learning from incidents, debriefs, complaints, and audits
- Involvement in local and national quality improvement forums
- Innovation in service delivery (e.g. green practices, digital records, trauma-informed training)
Conclusion
This Quality Framework ensures structured, accountable, and values-driven service delivery. Our goal is to empower clients to live with dignity and independence, while continuously improving the quality and effectiveness of our care.