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Dáil Éireann debate -
Tuesday, 25 Oct 1994

Vol. 446 No. 3

Adjournment Debate. - Ashford (Wicklow) Retirement Village.

The Minister for Health must take action and use his powers to prevent any more scandals of the kind that have beset the residents of Clonmannon retirement village in Ashford County Wicklow. The saga is well known — the sorry sequence of events involving shoddy business practice, the harassment of elderly residents, the cutting off of essential services and other unacceptable actions taken against people who are elderly, frail and in certain cases ill. Since the dispute began a number of the residents have died and others have been forced to move out. A place which promised to provide safety, refuge and services for elderly people has become a nightmare. Public lighting was cut off, electricity supply to the sewerage system was cut and, at one point, the water supply was cut off.

People in County Wicklow were shocked at the way these elderly residents could be terrorised with impunity. The situation is so grave that thousands of local people, supported by all the local churches, supported a petition to protect the residents. For over a year the affair at Clonmannon was the subject of media comment. There have been tribunal hearings in relation to the workers gaining their legitimate rights. In February a deputation from the village met the Minister of State at the Department of Enterprise and Employment, Deputy Mary O'Rourke. There have been court hearings and Employment Appeals Tribunal hearings. Eviction proceedings have begun against the residents.

After a lengthy and sustained campaign on the part of residents and supporters the Minister for Enterprise and Employment finally sent in an inspector under the provisions of the Companies Act whose investigation continues.

The single most shocking feature of this affair is the failure of existing legislation to protect the elderly residents. When they sought help from the State it was not forthcoming. This is no criticism of staff working in the statutory bodies who did their best. The needs of elderly people who might find themselves in the future in such a vulnerable position can be met only if the Minister for Health uses the powers granted him by this House. The implementation of the provisions of the Health (Nursing Homes) Act, 1990 made a major difference to standards in nursing homes but the elderly residents of Clonmannon are not protected even though many of them are old, sick, frail and vulnerable. Surely they are entitled to the same protection as their friends and relations living in nursing homes? If they do not have that protection, we shall be looking at a very serious repetition of the Clonmannon saga elsewhere.

Retirement villages are a growth industry and the world is full of unscrupulous businessmen who can and will exploit the opportunity that lack of regulation offers them. The Minister has power, under section 2 (2) of the Health (Nursing Homes) Act, 1990. If he becomes of opinion that the provisions of the Act should apply to a category of institution for the care and maintenance of persons he may, by regulation, amend the definition of "nursing home" to bring them within the scope of the definition contained in the Act. The Minister has an obligation to do so in view of the cruel, vicious regime the Clonmannon residents have had to endure. If he does not do so a clear signal will go out to every gangster and fly-by-night operator that there are easy pickings in the retirement village business in Ireland, in the exploitation of elderly people who deserve better and who are entitled to the protection of the State.

I will deal with the legal position first, the specific ambit of the relevant Act, and return to the specific position in Clonmannon. Deputy McManus suggests that the Minister should use powers available under the Health (Nursing Homes) Act, 1990 to extend the definition of a nursing home to include retirement home. I do not agree with the Deputy that the Minister has the power under the Act to do what she suggests. The long title of the Act is "to make further provision in relation to nursing homes for dependent persons and for that purpose to provide for the registration by health boards of such homes". A dependent person is defined in section 1 of the Act as

a person who requires assistance with the activities of daily living such as dressing, eating, walking, washing, and bathing by reason of:

(a) physical infirmity or a physical injury, defect or disease, or

(b) mental infirmity.

Section 2 of the Act defines a nursing home as "an institution for the care and maintenance of two or more of dependent persons".

Subsection (2) of that section enables the Minister to amend the definition of "nursing home" to include a class of institution for the care and maintenance of persons that it does not apply to. The subsection must be read in the context of this section as a whole. Subsection 1 specifies the institutions to be excluded from the scope of the Act. Subsection (2) permits the Minister to include within the scope of the Act, by regulations, an institution which has been explicitly excluded, or he may bring a new category of institution within the definition of nursing homes.

However, in bringing a new category of institution within the scope of the section, he is limited to institutions for dependent persons, as defined in section 1 of the Act. By its nature, a retirement home could not be defined as an institution for dependent persons. A retirement home is a place where older people, following retirement, choose to live. They look after their own affairs and perform the activities of daily living without assistance. The move to a retirement home or village is essentially a housing choice. The health services have no greater involvement with the elderly residents than if they were living in their former homes.

By contrast, people who need care in nursing homes depend on the nursing home to provide them with assistance with one or more of the activities of daily living such as dressing, eating, walking, washing and bathing. They are a very vulnerable group of people and the quality of their lives depends on the quality of the nursing care they receive in the home.

Only recently was the situation in Clonmannon brought to my attention by some of my colleagues in the Wicklow area. It is not directly within my remit. I was appalled at what is going on there. As Deputy McManus rightly said, it is disgraceful that elderly people should be subjected to such a regime.

A feature of the residents' contract was the provision of services such as might be provided to an individual's home. Aspects of this contract became the subject of dispute between residents and the management company. Following a series of allegations made in recent weeks to my colleague, Deputy Ruairí Quinn, the Minister for Enterprise and Employment, regarding the operation of companies involved in Clonmannon, he appointed on 10 October an officer pursuant to section 19 of the Companies Act, 1990 to examine the books of these companies. The Minister is concerned to emphasise that this is a sensitive case, where allegations have been made concerning various areas of law. He has sought the co-operation of everyone concerned in allowing the official inquiries to proceed in an objective and effective manner.

My main concern as Minister of State at the Department of Health is that the current dispute over the residents' contract should not jeopardise the health of the residents of Clonmannon. The Eastern Health Board is monitoring the situation and has contingency plans in place to offer residents of Clonmannon accommodation in health board homes should they become sufficiently dependent to need nursing home care.

I can assure Deputy McManus that I will maintain close contact with the health board about the matter.

The Dáil adjourned at 9.10 p.m. until 10.30 a.m. on Wednesday, 26 October 1994.

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