The HSE says it plans to hire more staff at Aras Attracta in Swinford, Co. Mayo but there is a shortage of nursing and social care staff across Europe.
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The Executive says it's hopeful a resolution can be found before residents are affected by a HIQA proposal to cancel registration for part of the facility, which caters for people with challenging behaviour.
The HSE says moves are being made to rectify the situation, with 37 more staff recruited since January and a further 25 more posts approved.
Interim Chief Officer for the HSE West Region Bernard Gloster says it's hard to say when those jobs will be filled.

