Enter and view: Abbey Court Care Home, Staffordshire

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Summary of report content

Healthwatch Staffordshire conducted an Enter and View visit on Abbey Court Care Home, a nursing and residential care home with 50 places caring for adults over 65 years old, on 26th July 2017. The purpose of the visit was to follow up on the findings of a CQC report which highlighted some areas for improvement – in particular staff levels, knowledge of resident’s dietary needs, the variety and presentation of meals. Observation by the Enter and View representatives reported: - externally the name board cannot be seen easily from the road and parking within the grounds is limited; - internally, an odour of urine was noted when entering though the building was well maintained and the corridors were free from clutter; - staff rotas have been changed to allow for shift overlaps during busy times and there is an ongoing recruitment campaign; - there are two activity coordinators/social therapists and a monthly budget exists for activities; - two agencies are used when needed and the same staff requested to ensure continuity for residents; - residents can choose whether to sit in their rooms or in the lounge, they also have access to the patio area where they can grow plant s in the greenhouse; - relatives are provided with an information pack which contains information on how to complain if necessary; - the kitchen has a 5 star hygiene rating and a choice of menu is provided; a new rota system means extra staff are available at meal times in case residents need assistance with eating/drinking; - staff training is done in-house and from outside agencies; - the home was waiting on Social Services to complete Deprivation of Liberties (DoLs) assessments; - medicine storage issues noted by the CQC report have been resolved; - nutrition charts are kept up to date and significant weight loss is reported to the GP; - computerised care plans are used and staff are trained on how to use tablets. The Enter and View representatives noted several areas of concern including: - a resident whose hair appeared not to have been combed for some time; - the Sluice room and ironing room were not locked; - in some rooms and corridors there was quite a strong smell of urine. The overall impression was that staff were working hard to address issues highlighted by CQC with some resolved and some a work in progress. One resident commented that the care was rubbish and the carers were rough. Another resident commented that she was happy with everything. One visitor commented that they had no issues with the care received by his relative at the home. Staff were welcoming and commented that they are aware of how to report concerns/abuse. The following recommendations were made: - the programme of removing carpets should be completed as soon as possible to address the strong urine smell to the left of the Office; - commodes should be removed from the bedrooms and put elsewhere during the daytime and spare commode pans should be stored appropriately; - if residents insist on having their own commode in their room continually, then there should always be a lid on it. A follow up visit in six months was proposed. During the visit the Manager and Clinical Lead promised to act on findings immediately where possible. After the visit, the owner responded to the issues raised in the report including addressing the concerns related to specific residents, promising to take action on issues identified through food surveys and addressing issues raised regarding commodes, the sluice room, biscuit availability and the changing of carpets to remove the urine smell.

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General details

Report title 
Enter and view: Abbey Court Care Home, Staffordshire
Local Healthwatch 
Healthwatch Staffordshire
Date of publication 
Friday, 25 August, 2017
Date evidence capture began 
Wednesday, 26 July, 2017
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Consent to care and treatment
Digitalisation of services
Food and nutrition
Health and safety
Quality of care
Quality of catering
Staff levels
Staff training
Other information of note about this report 
Meaningful Activities
Activity Coordinator
Activities
Healthwatch reference number 
Rep-1469

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
If this work has been done in partnership, who is the partner? 
N/A
Primary research method used 
Observation
Unstructured Interview
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

Secondary care services 
Care of the elderly
Dementia
Social care services 
Adult social care
Nursing care home
Residential care home

Details of people who shared their views

Number of people who shared their views 
8
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? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
Care / support workers
Service manager
Does the information include other people's views? 
Yes
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? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Yes
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.