An investigation into over 20 Covid-19 related deaths at a HSE-run nursing home in Dublin during the first wave of the pandemic in 2020 has outlined "significant concerns" regarding the management of preparations and the initial response to the outbreak of the virus at St Mary's Hospital in Phoenix Park.
The executive summary of the investigation into allegations raised by a protected disclosure follows a two-year investigation by Acrux Consultancy, which was commissioned by the HSE to investigate the claims of a whistleblower.
As part of the examination of the claims, the investigation team held 47 meetings with various parties. It has concluded that a gap occurred with the engagement between leadership and those on the ground. "What is compelling is that all of the managers we met maintained they did their best, that they were not left wanting in responding to what occurred in front of them, and that they made decisions based on the right reasons with the care of the residents to the fore. "We do not doubt that sincerity, nor the genuine efforts made by management in seeking to manage what had emerged. "We got a sense that they were swamped by what occurred at the time of the outbreak and in the immediate weeks thereafter." However, what appeared to be lacking, according to the report, was "a strong sense of direction" about the need to adhere to the guidelines, and the provision of guidance and reassurance to staff.
It said that while the future may have been unknown, immediate actions needed to be coordinated and followed in a crisis like the pandemic. "That sense of direction was not evident," according to the report.