Dignity Champions Visit Care home Alan-Morkhill, Central West London

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Summary of report content

2 Enter and View visits of Alan Morkhill Care Home in the Royal Borough of Kensington and Chelsea (RBKC) run by Goldcare Homes. Information collected through: introductory meeting, observations, conversations with 11 residents, 5 staff and 1 relative and documentation. Background: • A 49 bedded residential home for over 65s owned by Gold Care Homes. 47 beds were occupied on both visits. • Follow up visit from previous visit in 2012 and a recent Care Quality Commission (CQC) inspection rating ‘requires improvement.’ • The HCWL Dignity Champions volunteers work together to improve people’s experiences of health and social care receiving training around the Care Act and the duties and implications in the provision of care around respect and dignity. Dignity Champions are trained to observe and listen to residents in their home setting. Conclusions: • Majority of residents are very happy with their care. The attitude of the staff is caring, treating residents with dignity and respect. • Staffing levels seemed low and staff were stretched within the confines of their roles. • Additional work created for the Manager and staff by not having easier and more routine access to GP and multi-disciplinary teams. With the Integrated Care Service ‘My Care, My Way’ operating in the Borough, the infrastructure and role of the Care Manager should support this. Recommendations: • Ensure that cleaning staff do not leave trollies unattended. • Review of staffing and consideration of additional staff or volunteer support for activities, meal times and other peak periods. • Review of activities. • Link up with My Way, My Care to consider if more support is available for residents through Case Managers. • Implementation of dementia plan and refurbishment of 2nd floor to create a dementia friendly environment and specialist training for all staff working with residents with dementia. • Ongoing maintenance programme. • Designated staff to visit another local facility as part of ongoing training. • Ongoing involvement with Healthwatch local engagement lead.

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General details

Report title 
Dignity Champions Visit Care home Alan-Morkhill, Central West London
Local Healthwatch 
Healthwatch Central West London
Date of publication 
Tuesday, 6 June, 2017
Date evidence capture began 
Friday, 3 March, 2017
Date evidence capture finished 
Tuesday, 6 June, 2017
Type of report 
Other
Key themes 
Access
Cleanliness hygiene and infection control
Complaints procedure
Decor
Food and nutrition
Health and safety
Lifestyle and wellbeing
Medication
Referrals
Staff attitudes
Staff levels
Staff training
Support
Waiting times and lists for treatment
Other information of note about this report 
Careplan
Safeguarding
Meaningful Activities
Activity Coordinator
Activities
Healthwatch reference number 
Rep-6498

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 
Observation
Unstructured Interview
User stories
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Primary care services 
GP practice
Secondary care services 
Dementia
Mental health services 
Community mental health team (CMHT)
Social care services 
Residential care home

Details about conditions and diseases

Types of disabilities 
Mental health
Types of long term conditions 
Alzheimer’s disease or dementia
Blindness or severe visual impairment
Mental health condition
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
17
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Other population characteristics 
People with limited family or social networks
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Care / support workers
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

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