Enter and view: Appletree Court Care Home

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Summary of report content

Healthwatch Barnet conducted an announced Enter and View visit undertaken by Healthwatch Barnet’s E&V Volunteers, as part of a planned strategy to look at a range of care and nursing homes within the London Borough of Barnet to obtain a better idea of the quality of care provided. Healthwatch Barnet visited Appletree Court Care Home on 10th November 2015. Healthwatch Barnet came away with some mixed impressions, based on facts obtained from staff, relatives and residents and their own observation whilst going around. The report highlights the management style was seen to be very hands on and enthusiastic (this was also commented on by several staff), but was felt by some to be overwhelming and potentially undermining of an individual’s self-confidence. The reports comments the majority of residents were not able to comment on their care and accommodation, but the Healthwatch Barnet saw no evidence to cause concern about their wellbeing, with the possible exception of those unable to leave their rooms. Healthwatch Barnet felt that the staff interacted with the residents in a pleasant manner but got the impression that they would interact more if time permitted. Healthwatch Barnet were concerned that the home appears to be run on a very tight budget given the very challenging nature of many of its residents and that this may be inhibiting the manager from making improvements. This report contains 9 recommendation in relation to theme around involvement, activities, staffing, training and safeguarding.

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General details

Report title 
Enter and view: Appletree Court Care Home
Local Healthwatch 
Healthwatch Barnet
Date of publication 
Tuesday, 10 November, 2015
Date evidence capture began 
Tuesday, 10 November, 2015
Date evidence capture finished 
Tuesday, 10 November, 2015
Type of report 
Enter and view
Key themes 
Administration
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Continuity of care
Cost of services
Decor
Engagement
Food and nutrition
Health and safety
Health promotion
Lifestyle and wellbeing
Public involvement
Staff levels
Staff training
Support
Healthwatch reference number 
Rep-6208

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
Structured interview
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 
Nursing care home
Residential care home

Details of people who shared their views

Number of people who shared their views 
Not known
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
Service manager
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? 
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.