Enter and view: Abbotsbury, Bedfordshire

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Summary of report content

Healthwatch Central Bedfordshire conducted an announced Enter and View visit on 29 January 2015 to Abbotsbury Residential Care Home. The home has 32 beds providing care for people with mild memory loss, dementia and frail older people. All residents are over the age of 65. Four residents as well as several family members and staff were engaged with using survey and observation methods. The findings show that at the time of the visit, the home was operating to a good standard of care with regard to cleanliness, dignity and respect. Residents looked tidy, clean and well cared for, representatives saw no evidence of dignity not being respected. Residents were generally happy with the meals which appeared to be balanced and nutritious. Residents were given the option of taking part in organised activities along with their relatives. Relatives were appreciative of the care given, however, they were all concerned about the level of staffing, particularly the shortage of permanent staff and current use of agency staff. Relatives (and some staff members) spoke of their concerns regarding the standard of care delivered by agency staff. Recommendations were made concerning the urgent need for recruitment of permanent staff and for all new staff to undergo rigorous training in the levels of care and compassion expected of them. Representatives felt the home to be urgently in need of redecoration or refurbishment and recommended that it be redecorated. It was also recommended that the report be shared with residents and their relatives to allow them the opportunity to comment further should they wish to do so. The service provider responded positively to the report and its recommendations. The home plans to look at utilising staff in a different way so as to ensure they are being as efficient as possible. Details of staff induction periods, supervision and training as well as a description of the process to support agency staff were shared. The manager stated that they would undertake an assessment of all living spaces and put in place a programme for redecoration over the following 12 months and that the report would be widely distributed and placed in the reception for relatives/family members to read and comment on.

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General details

Report title 
Enter and view: Abbotsbury, Bedfordshire
Local Healthwatch 
Healthwatch Central Bedfordshire
Date of publication 
Thursday, 29 January, 2015
Date evidence capture began 
Thursday, 29 January, 2015
Date evidence capture finished 
Thursday, 29 January, 2015
Type of report 
Enter and view
Key themes 
Cleanliness hygiene and infection control
Communication between staff and patients
Decor
Food and nutrition
Quality of staffing
Staff attitudes
Staff levels
Staff training
Other information of note about this report 
Activities
Healthwatch reference number 
Rep-5156

Methodology and approach

Primary research method used 
Observation
Survey
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

Social care services 
Residential care home

Details about conditions and diseases

Types of disabilities 
Memory
Long term condition
Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
6
Age group 
All
Gender 
All
Ethnicity 
All
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
Does the information include other people's views? 
No
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? 
No
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.