Enter and view: Ashgables House

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Summary of report content

Healthwatch Wiltshire conducted an announced Enter and View visit on the 28th November 2018 to Ashgables House. Ashgables House is a care home for people with mental health needs and/or a learning disability and provides personal care for up to 26 residents. Five members of staff and four residents were interviewed during the visit to gather their feedback alongside observations of the home. The home had three units. One was clean but in need of redecoration, the other two were more welcoming. Residents reported that care was tailored to individual needs and that they were happy living in the home with staff that treated them well. An activities coordinator ran a number of activities, and residents reported that staff arranged outings for them as well. There is a choice of two main meals at lunchtime but if a resident does not like either of these the cook offers to make alternatives. There is a monthly service users’ meeting and an annual residents’ satisfaction survey. Additionally, there was also an easy to read complaints poster with pictures of staff to speak to if a resident had a complaint. The residents are registered with local GP surgeries, who provide home visits on a monthly basis. Medication is dispensed by a local pharmacy once a month. The prescriptions are provided with the resident's photographs to reduce drug errors. There is a local optician who visits the home and two residents commented on how helpful they were. It was reported that there is a low staff turnover but on occasion agency workers have been used. Staff also reported that they aim to do everything in the individual resident’s interest with a strong team spirit between members of staff. Healthwatch Wiltshire made three recommendations to the home based on their findings. These included that the home should consider refreshing the decor in the communal areas of Unit 3; Continue to request up to date and unscratched DVDs and magazines from the local community for the use of residents; and consider the need for some nursing beds for older people with mental health needs in the care home due to rising numbers in the local population. The service provider responded positively and addressed the recommendations made in the report.

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General details

Report title 
Enter and view: Ashgables House
Local Healthwatch 
Healthwatch Wiltshire
Date of publication 
Monday, 8 April, 2019
Date evidence capture began 
Wednesday, 28 November, 2018
Date evidence capture finished 
Wednesday, 28 November, 2018
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Decor
Food and nutrition
Holistic support
Information providing
Medication
Quality of care
Quality of catering
Quality of staffing
Staff attitudes
Staff training
Healthwatch reference number 
Rep-4522

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Service Provider
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? 
Announced

Details of health and care services included in the report

Social care services 
Residential care home

Details of people who shared their views

Number of people who shared their views 
9
Age group 
All
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
Sexual orientation 
NA
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Allied health 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? 
Positive

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 (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.