Availability of care in Wokingham Borough

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Summary of report content

Healthwatch Wokingham Borough created a report to address the feedback they had received about how bewildering local residents find navigating the care environment in the area. The report covers: a) Adults with learning difficulties who need residential care b) Residential care homes c) Residential care homes able to deal with Dementia/Alzheimer’s & nursing d) Home care provision e) Sheltered housing f) Domiciliary care agencies g) Extra Care Housing Schemes h) Services for people with mental health conditions Healthwatch Wokingham Borough sent out 212 surveys to domiciliary care agencies, micro providers and residential care home providers requesting data on numbers and type of users, although despite follow up phone calls, the response rate was statistically too small to make any generalisations. However, the headlines from what care providers told them are:  Breakdown in communication between NHS acute care, primary care, community care and home care service providers leads to lack of coordinated care.  Workforce issues cause problems with capacity.  Current Council funding not always meeting care expenses. There needs to be more flexibility with care packages for funded/part funded care and an overall review of the commissioning process to ensure sustainability, continuity and equity.  The demand for residential care is increasing. Clients are far older and are more dependent than they used to be. There is significant difficulty in recruiting 'Registered General Nurses' of the right calibre and this is a major challenge over the last 2 years. When asked what would improve things for Care Providers they said:  One stop shop for all information  Agencies and other professionals to stop reorganising themselves and giving themselves different names when they are doing the same thing  More choice of facilities for those thinking about care options The report does not include any recommendations or a response from the services concerned.

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General details

Report title 
Availability of care in Wokingham Borough
Local Healthwatch 
Healthwatch Wokingham
Date of publication 
Monday, 1 August, 2016
Type of report 
Report
Key themes 
Access
Admission
Building and facilities
Communication between staff and patients
Complaints procedure
Continuity of care
Cost of services
Devolution of services
Digitalisation of services
Health inequalities
Health promotion
Health protection
Information providing
Integration of services
Public involvement
Referrals
Service delivery organisation and staffing
Healthwatch reference number 
Rep-5674

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Survey
How was the information collected? 
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Social care services 
Assisted living
Extra care housing services
Home care / domiciliary care
Nursing care home
Residential care home
Respite care

Details of people who shared their views

Number of people who shared their views 
Unknown
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Administrative
Service manager
Does the information include other people's views? 
Yes
What was the main sentiment of the people who shared their views? 
Negative

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
No
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.