Visits This Month
23
Next: Thu 19 Jun, 09:00
Medications
7
1 review due
Active Alerts
2
Fall risk · Skin integrity
Open Incidents
1
Reported 14 Jun
Fall Risk Alert: Margaret's Morse Fall Scale score is 65 (High Risk). Bed rails in use. Non-slip mats fitted.
Medication Review: Lisinopril dosage review scheduled with GP Dr. Niamh Walsh on 22 Jun 2025.
Recent Visits
Last 5 documented visits
✓
Thu 12 Jun · 09:15 – 11:30 · HCA: Fatima Olawale
Personal care, medication assist, breakfast
Client in good spirits. Ate full breakfast. No concerns noted.
✓
Wed 11 Jun · 09:00 – 11:00 · HCA: Blessing Nwosu
Personal care, medication, range of motion exercises
Mild oedema noted in ankles. Reported to RN Adaeze Okeke.
!
Tue 10 Jun · 08:45 – 11:15 · HCA: Fatima Olawale
Personal care · Skin integrity review initiated
Redness observed at sacral area (Stage 1). Waterlow score 18. Escalated per protocol.
Wellbeing Overview
Stable
Barthel Index
68/100
Moderate dependency
MMSE
22/30
Mild cognitive impairment
NEWS2 Score
2
Low concern
Pain Score (NRS)
3
Mild pain · managed
Upcoming Appointments
19
JUN
JUN
Home Visit – RN Assessment
09:00 · RN Adaeze Okeke
22
JUN
JUN
GP Review – Medication
11:30 · Dr. Niamh Walsh, Rathfarnham
Care Team
AO
RN Adaeze Okeke
Lead Nurse · SolidRock
FO
Fatima Olawale
HCA · Primary Carer
NW
Dr. Niamh Walsh
GP · Rathfarnham Medical
Current care plan reviewed and signed on 1 June 2025 by RN Adaeze Okeke and family representative Patrick Power. Next review: 1 September 2025.
Active Care Plan
Version 3 · Effective 1 Jun 2025 · Review due 1 Sep 2025
Active
Care Needs & Goals
| Domain | Need | Goal | Status |
|---|---|---|---|
| Personal hygiene | Assistance required | Maintain dignity & independence where possible | On track |
| Mobility | 2-person transfer | Maintain current level; prevent falls | Monitor |
| Nutrition | Soft diet · IDDSI Level 5 | Maintain weight; prevent aspiration | On track |
| Medication | Full admin assist | 100% adherence; review Lisinopril | Review due |
| Skin integrity | Daily inspection | Prevent pressure sores; stage 1 healing | Escalated |
| Cognitive | Reorientation support | Reduce agitation; maintain routine | Stable |
Person-Centred Preferences
Daily Routine
Prefers morning wash at 09:30. Watches RTÉ News at 13:00. Rosary at 15:00. Dislikes male carers for personal care.
Food & Drink
Prefers Barry's tea with one sugar. Favourite meal: bacon and cabbage. Allergic to penicillin.
Advance Directives
DNAR in place (signed 3 Mar 2024). Wishes to remain at home. Healthcare proxy: Patrick Power (son).
Emergency Contacts
Patrick Power (son) · 087 123 4567
Siobhán Murphy (daughter) · 086 987 6543
Siobhán Murphy (daughter) · 086 987 6543
Visit Documentation Log
All visits verified via Electronic Visit Verification (EVV)
| Date & Time | Carer | Duration | Tasks Completed | Clinical Notes | Signed |
|---|---|---|---|---|---|
| 12 Jun 09:15 – 11:30 |
Fatima Olawale HCA |
2h 15m | Personal care · Breakfast · Medication assist · Hydration check | Good spirits. Full breakfast. Skin clear. | ✓ EVV |
| 11 Jun 09:00 – 11:00 |
Blessing Nwosu HCA |
2h 00m | Personal care · ROM exercises · Medication · Ankle check | ⚠ Mild ankle oedema. Reported to RN. | ✓ EVV |
| 10 Jun 08:45 – 11:15 |
Fatima Olawale HCA |
2h 30m | Personal care · Skin check · Medication · Nutrition | ⚠ Stage 1 redness sacral. Waterlow 18. Escalated. | ✓ EVV |
| 09 Jun 09:30 – 11:00 |
RN Adaeze Okeke RN |
1h 30m | Full nursing assessment · Vital signs · Medication review · Family update | BP 138/82. HR 74. Sats 96%. NEWS2 = 2. Stable. | ✓ RN Signed |
| 08 Jun 09:00 – 11:30 |
Fatima Olawale HCA |
2h 30m | Personal care · Breakfast · Medication · Social engagement | Enjoyed conversation about family photos. | ✓ EVV |
Lisinopril 5mg requires a GP medication review before next prescription. Appointment scheduled 22 Jun 2025.
Medication Administration Record (eMAR)
All medications dispensed and recorded in real time
Amlodipine 5mg
Once daily · Morning · Calcium channel blocker
Today ✓ 09:20
Administered by Fatima Olawale
Adherent
30-day: 100%
Lisinopril 5mg
Once daily · Morning · ACE inhibitor · Review due
Today ✓ 09:22
Administered by Fatima Olawale
Review
22 Jun GP appt
Donepezil 10mg
Once daily · Bedtime · Cholinesterase inhibitor (Alzheimer's)
Due 22:00 tonight
Adherent
30-day: 97%
Furosemide 40mg
Once daily · Morning · Loop diuretic
Today ✓ 09:20
Adherent
Warfarin 3mg
Once daily · Evening · Anticoagulant · INR monitoring required
Due 18:00
INR due: 20 Jun
INR pending
Paracetamol 500mg
PRN · Up to 4x daily · Analgesic
PRN
Vitamin D3 1000IU
Once daily · Morning · Supplement
Today ✓ 09:20
Adherent
Multidisciplinary Team Referrals
Coordinated through HSE CHO 7 Dublin South
| Discipline | Reason | Referred by | Date | Status | Outcome |
|---|---|---|---|---|---|
| Physiotherapy HSE Community PT |
Mobility decline; fall prevention programme | RN Adaeze Okeke | 28 May 2025 | Active | 4 sessions completed. 2 remaining. |
| Dietitian St James's Hospital |
Weight loss; dysphagia assessment; IDDSI review | Dr. N. Walsh (GP) | 2 Jun 2025 | Pending | Appointment awaited. |
| Occupational Therapy CHO 7 OT Dept |
Home safety assessment; equipment review | RN Adaeze Okeke | 15 Apr 2025 | Completed | Grab rails fitted. Walking frame supplied. Report filed. |
| Social Worker HSE CHO 7 |
Carer support review; respite assessment | RN Adaeze Okeke | 10 Jun 2025 | Scheduled | Meeting: 25 Jun 2025, 14:00 |
| Tissue Viability Community Nursing |
Stage 1 pressure injury sacral area (Waterlow 18) | RN Adaeze Okeke | 11 Jun 2025 | Urgent | Awaiting specialist visit within 48hrs per protocol. |
Appointment Tracker
All scheduled appointments and care visits
Upcoming
Past
All
19
Jun
RN Home Visit – Comprehensive Assessment
09:00 · RN Adaeze Okeke · Home visit, 12 Beech Grove, Rathfarnham
22
Jun
GP Review – Medication & Blood Pressure
11:30 · Dr. Niamh Walsh · Rathfarnham Medical Centre
25
Jun
Social Work Review – Respite Assessment
14:00 · HSE Social Worker · Home visit
2
Jul
Tissue Viability Nurse – Pressure Injury Review
10:00 · Community Nursing Team · Home visit
Blood Pressure (mmHg)
StableSystolic
Diastolic
Weight (kg)
Declining
⚠
3.6kg loss over 4 months. Dietitian referral active.
Oxygen Saturation SpO₂ (%)
NormalPain Score (NRS 0–10)
Mild pain2 active risk alerts require family awareness. Clinical team has been notified and actions are in place.
HIGH RISK
Fall Risk
Morse Fall Scale · Score: 65
History of falls
YesSecondary diagnosis
YesAmbulatory aid
Walking frame
Gait
Weak/impaired
Interventions in place
✓ Bed rails fitted (low-low position)
✓ Non-slip mats at all transitions
✓ Call bell within reach at all times
✓ Footwear check on every visit
✓ Fall prevention programme – Physiotherapy ongoing
ESCALATED
Skin Integrity
Waterlow Score: 18 · Stage 1 Pressure Injury
Site
Sacral area
Stage
Stage 1First noted
10 Jun 2025
Waterlow
18 (High Risk)
Interventions in place
✓ Repositioning every 2 hours
✓ Pressure-relieving mattress in use
✓ Daily skin inspection documented
✓ Moisture barrier cream applied
⏳ Tissue Viability Nurse referral – awaiting visit
Risk History
| Risk Type | Score/Level | Date Identified | Status | Reviewed by |
|---|---|---|---|---|
| Fall Risk (Morse) | 65 – High | 28 May 2025 | Active | RN Adaeze Okeke |
| Pressure Injury (Waterlow) | 18 – High | 10 Jun 2025 | Escalated | RN Adaeze Okeke |
| Malnutrition (MUST) | 2 – High | 2 Jun 2025 | Active | Dr. N. Walsh |
| Cognitive (MMSE) | 22/30 – Mild | 1 Jun 2025 | Monitored | RN Adaeze Okeke |
| Venous Thromboembolism (VTE) | Low | 1 Jun 2025 | Low risk | Dr. N. Walsh |
Incident Reports
Reported per SolidRock Incident Management Policy and HIQA standards
INC-2025-047 · Near Miss – Fall
Reported: 14 Jun 2025 · Status: Under investigation
Margaret attempted to stand from armchair without waiting for HCA support. She lost balance momentarily but was stabilised by Fatima Olawale who was present in the room. No injury sustained. Client was seated safely. GP and family notified.
Location
Living room, home
Carer present
Yes – Fatima Olawale
Notified
GP, Family, RN
Immediate Actions Taken
✓ Client assessed – no injury confirmed
✓ Incident form completed within 4 hours
✓ RN Adaeze Okeke notified
✓ Family (Patrick Power) contacted by phone at 15:45
⏳ RN review visit scheduled 15 Jun 2025
INC-2025-031 · Medication – Missed Dose
Closed
15 May 2025 · Donepezil evening dose not administered due to carer sickness absence and cover delay. Dose omitted as per PRN protocol. GP informed. No adverse effect. Additional cover protocol updated.
Complaints & Feedback
Managed under the HSE Your Service Your Say framework and HIQA complaints standards
How complaints are handled at SolidRock
Your Rights
• Complain verbally or in writing at any time
• Have a nominated person support you
• Receive acknowledgement within 2 working days
• Receive a full written response within 30 days
• Appeal to HIQA or HSE Ombudsman if unsatisfied
Our Process
• Step 1: Initial acknowledgement (2 working days)
• Step 2: Investigation by Complaints Officer
• Step 3: Written outcome report (30 days max)
• Step 4: Appeal internally or to external bodies
• Step 5: HIQA/HSE Ombudsman if unresolved
Active & Recent Complaints
| Ref | Date | Category | Summary | Status | Response Due |
|---|---|---|---|---|---|
| CMP-2025-008 | 14 Jun 2025 | Communication | Delayed family notification of near-fall incident | Under review | 28 Jun 2025 |
| CMP-2025-003 | 12 Apr 2025 | Scheduling | Late arrival of carer without notification (40 min delay) | Resolved | – |
If you are not satisfied with SolidRock's response, you may escalate to: HSE Your Service Your Say (0818 359 359) · HIQA (021 240 9300) · Office of the Ombudsman (01 639 5600)
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AO
RN Adaeze Okeke
Lead Nurse
● Available
FO
Fatima Olawale
HCA
◌ On visit
NW
Dr. Niamh Walsh
GP
Next: 22 Jun
✦ AI-Generated · SolidRock Intelligence Engine
Weekly Wellbeing Report — Margaret Power
Margaret has remained medically stable throughout the week of 9–15 June 2025. Her cardiovascular readings are within acceptable range for her age and diagnosis profile, and her cognitive engagement remains consistent with recent baselines. Two clinical concerns have emerged that require family awareness and ongoing monitoring.
96%
Visit completion rate
NEWS2: 2
Physiological risk
97%
Medication adherence
Stable
Overall status
Clinical Summary
This week♡
Cardiovascular – Stable
Mean BP this week: 139/83 mmHg. Furosemide and Amlodipine maintaining effective control. No arrhythmia concerns noted.
⚠
Nutritional – Requires attention
Continued weight decline (58.4kg, down 0.4kg this month). Dietitian referral active. IDDSI Level 5 maintained. Hydration adequate.
!
Skin Integrity – Escalated
Stage 1 pressure injury identified at sacral area 10 Jun. Waterlow 18. TVN referral active. Repositioning programme in place.
🧠
Cognitive – Baseline maintained
MMSE 22/30, consistent with last month. Donepezil 10mg effective. Engagement with routine activities good. No acute confusion episodes.
😊
Mood & Wellbeing – Positive
Carers document positive mood on 4 of 5 visits this week. Engaged with family photos and daily routine. No expressions of distress.
Recommended Actions for Family
Priority: Attend TVN visit
Be present for the Tissue Viability Nurse assessment. Ask about pressure-relieving mattress upgrade options.
Nutrition: Encourage eating
Small, frequent high-calorie snacks between visits. Favourite foods help — consider requesting favourite meals from family.
GP Appointment: 22 June
Bring list of any changes you've observed. Ask about Lisinopril review and INR results when available.
Social engagement: Keep it up
Family visits are highly beneficial. Familiar conversation, music, and photos are supporting Margaret's cognitive engagement.
Generate Custom Report