Enter and View: Alexandra House, Ludlow

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Summary of report content

Healthwatch Shropshire undertook an Enter and View visit to Alexandra House, Ludlow on Tuesday 30th April 2019. The purpose of the visit was to make observations of the home environment and interactions between staff, residents and their families to understand their approach towards ‘person centred’ care. The home was registered to provide residential and respite care for 22 residents but had 20 at the time of visit, some of whom were living with dementia.

The report found the home had a pleasant, clean and welcoming atmosphere however, it did not have many adaptations for people living with dementia; the garden, bathrooms, carpets and signs to bathrooms and toilets were not dementia friendly in all areas; there were no clocks which showed the day, date and time; and one bedroom did not have the call bell adjacent to the bed. The residents and their relatives were very happy with the level of care received but the residents did not have a key named carer. There were activities for residents, but no printed programme was made available.

The report recommended refurbishing the carpets, toilets, garden and bathrooms in line with recommendations for people living with dementia; to consider improving access to the garden and making the garden area secure, installing clocks in communal areas that display the day, date and time and installing directional signs showing where the toilets or bathrooms are. It also asked to review the location of call bells in bedrooms to ensure they are close to the resident’s bed. The service providers responded to all the recommendations and ensured they would be met.

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General details

Report title 
Enter and View: Alexandra House, Ludlow
Local Healthwatch 
Healthwatch Shropshire
Date of publication 
Wednesday, 17 July, 2019
Date evidence capture began 
Tuesday, 30 April, 2019
Date evidence capture finished 
Tuesday, 30 April, 2019
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Food and nutrition
Health and safety
Information providing
Lifestyle and wellbeing
Quality of care
Quality of catering
Quality of staffing
Staff attitudes
Staff training
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
If this work has been done in partnership, who is the partner? 
Primary research method used 
Unstructured Interview
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Social care services 
Residential care home
Respite care

Details about conditions and diseases

Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
Age group 
All people 18 and over
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? 
What type of impact was determined? 
Implied Impact
Tangible Impact (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.