PATIENTS referred to speech and language therapy or physiotherapy services through the public health system by their GPs are not receiving the required treatment because they are residents at an Ennis Mental Health unit.
This inequality in services provided to residents at Cappahard Lodge emerged during an unannounced inspection of the 32-bed unit by the Mental Health Commission on July 10.
“It is unacceptable that a public service will not accept a referral for a speech and language therapy assessment or a physiotherapy assessment simply because the persons referred are patients of a mental health service,” the inspectors said in their report.
Eight residents, who had been referred by their GP to avail of speech and language therapy services, and one resident, who had been referred by their GP to avail of physiotherapy services, had to pay for them privately.
“In this regard, there appeared to be an inequity of service provision afforded to mental health patients, in that residents of the approved centre did not have access through the public health system to speech and language therapy and to physiotherapy, despite being referred to these services by their GP,” the inspectors found.
Inspectors Sean Logue, Assistant Inspector of Mental Health Services, and Dr Fionnuala O’Loughlin, Assistant Inspector of Mental Health Services, recommended that resident of Cappahard be provided with the services through the public health system, as required.
The inspectors also found that the unit was in breach of the condition of its registration, which required that it be fully compliant with Article 15 of the Regulations Individual Care Plans. They found that a signif cant number of residents had not had a six-monthly physical examination carried out and in some instances; this had been due for over three months.
According to the inspectors’ report deaths had not been notif ed to the Mental Health Commission within a 48-hour period as required.
The report also stated, “The premises were clean, warm, adequately lit and well ventilated, and had been recently painted and decorated.”