Dignity in Care Annual Report

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Summary of report content

Healthwatch Bucks have conducted 24 Enter and View visits to care homes and have written a report to summarise the year's visits. They were asked by Buckinghamshire County Council to find out if people are treated with dignity. They spoke to 271 people and observed 361.

They highlighted that one report led to Buckinghamshire County Council immediately contacting the service provider and implementing a six-week improvement plan as a result. 18 out of the 24 homes have made changes because of the recommendations we made. However, six have chosen not to or have not told us about any changes. Following the outbreak of COVID-19, we stopped asking for feedback in early March 2020 so providers could focus their activity where it was most needed. Most care homes understand the importance of keeping residents engaged mentally and physically in their lives, by providing activities. There are, however, still homes where insufficient staff, or insufficiently skilled staff inhibits their ability to give dignified care in all areas.

The recommendations to care homes include maximising opportunities via technology for residents; regularly review residents' wellbeing; and incorporate different levels of physical activity into daily life. There were also recommendations made to the Buckhinghamshire Council.

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General details

Report title 
Dignity in Care Annual Report
Local Healthwatch 
Healthwatch Buckinghamshire
Date of publication 
Tuesday, 14 April, 2020
Date evidence capture began 
Friday, 1 March, 2019
Date evidence capture finished 
Tuesday, 31 March, 2020
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Digitalisation of services
Health protection
Holistic support
Information providing
Lifestyle and wellbeing
Quality of care
Quality of staffing
Service delivery organisation and staffing
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 
Local Council
If this work has been done in partnership, who is the partner? 
Buckinghamshire Council
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 
Residential care home

Details of people who shared their views

Number of people who shared their views 
Age group 
Specific ethnicity if known 
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
Types of health and care professionals engaged 
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? 
What type of impact was determined? 
Implied Impact
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.