Bi-annual enter and view summary report

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Summary of report content

During 2018/2019, Healthwatch Derbyshire were re-commissioned by Derbyshire County Council (DCC) to conduct a range of unannounced visits to 13 of their 26 residential services across the county. The service profile and range included 11 services supporting older persons and two services supporting people who have learning disabilities/ difficulties. This bi-annual summary report collates the findings gathered across the range of visits undertaken on the specific dates as set out in Section 2 of this report. The summary of key data and findings across all visits includes: Each visit on average took approximately three and three-quarter hours to undertake. Observations by ARs generally included the full range of residents/clients and staff present during the visit, plus any visitors who were present. Due to the nature of the capacity limitations of many residents/clients, discussions and/or questionnaire-based interviews were restricted. In total:- (i) 21 individual residents/clients were engaged with and participated within their capacity in responding to questionnaire-based interviews. Many other residents in each setting were observed (ii) 13 relatives/friends participated in questionnaire-based interviews (iii) 24 members of staff participated in questionnaire-based interviews. Healthwatch findings were generally comparable to the previous reports issued with good overall care standards maintained and a range of individual improvements noted. Healthwatch findings were mostly aligned with the current CQC’s published reports positive findings. Residents and relatives continue to consistently express an appreciation of the high quality of care experienced and confidence in the staff delivering care. Residents felt safe and both residents and relatives felt confident in raising concerns if they had any. Building maintenance (internal and external) was generally noted to be of a high standard. Home reports reflected some concerns with organised programmes of activity with five of the seven homes indicating the wish for a greater range and frequency to be offered. Residents continue to speak positively about the quality of food/meals received and the choices offered. Improvements in the maintenance of the garden areas were noted across the homes. This report contains 8 recommendations in specifically around equipment, staff training, activities and the environment.

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General details

Report title 
Bi-annual enter and view summary report
Local Healthwatch 
Healthwatch Derbyshire
Date of publication 
Wednesday, 7 November, 2018
Date evidence capture began 
Friday, 27 July, 2018
Date evidence capture finished 
Wednesday, 7 November, 2018
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Consent to care and treatment
Continuity of care
Food and nutrition
Health and safety
Health inequalities
Health promotion
Health protection
Information providing
Lifestyle and wellbeing
Public involvement
Quality of care
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Primary research method used 
Structured interview
How was the information collected? 
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Social care services 
Nursing care home
Residential care home

Details of people who shared their views

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

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
What type of impact was determined? 
Implied Impact

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.