Dementia Care – Care Homes Enter & View Visit Report 2019

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Summary of report content

This is a summary report of 8 Enter and View visits undertaken by Healthwatch Shropshire to  care homes registered with CQC as providing some level of Dementia care. This included both residential and nursing homes. They spoke to 85 people in total; 28 residents (many of whom had Dementia), 17 visitors and 40 members of staff.


The residents, and their relatives or friends, who Healthwatch Shropshire spoke to were overwhelmingly happy with the care they were receiving at these eight care homes. People felt that staff knew them well and provided good care.

 Staff were very positive about their places of work giving examples such as having a ‘great staff team’ around them and being ‘very proud of the excellent training they had received’.

End of Life Care was very important in these settings to avoid people having to move home as their health deteriorated. Both residents and staff we spoke to felt confident that preferences and wishes had been discussed and recorded.

Generally the care homes were dementia friendly, but in half of the homes visited Healthwatch Shropshire found issues with a lack of clear signs, particularly for toilets, and use of colour contrasts, for example light switches which are a different colour to the wall behind them making them easier to see.

Recommendations and impact

Healthwatch Shropshire made 43 recommendations across all eight homes, 23 of which were about the environment of the homes for example ‘developing the use of the outside area for residents’ and ‘installing dementia appropriate directional signs to toilets, nurses’ station and exits’. Providers were largely positive in their responses to our recommendations with 30% of recommendations acted on immediately and providers telling us they intended to act on another 42% of our recommendations in the future

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General details

Report title 
Dementia Care – Care Homes Enter & View Visit Report 2019
Local Healthwatch 
Healthwatch Shropshire
Date of publication 
Tuesday, 29 October, 2019
Date evidence capture began 
Tuesday, 1 January, 2019
Date evidence capture finished 
Monday, 30 September, 2019
Type of report 
Enter and view
Key themes 
Building and facilities
Food and nutrition
Health and safety
Holistic support
Lifestyle and wellbeing
Quality of staffing
Staff attitudes
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Not Known

Details of health and care services included in the report

Social care services 
Nursing care home
Residential care home

Details about conditions and diseases

Types of disabilities 
Types of long term conditions 
Alzheimer’s disease or dementia
What type of pregnancy or maternity themes are included in the report 

Details of people who shared their views

Number of people who shared their views 
Age group 
All people over the age of 65
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? 
Types of health and care professionals engaged 
Care / support workers
Service manager
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? 
Not known
What type of impact was determined? 
Tangible impact (not cost related)

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.