Enter and view: Ashgreen House Residential and Nursing Home

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Summary of report content

Healthwatch Greenwich undertook an unannounced enter and view visit to Ashgreen House Residential and Nursing Home on 17 January 2020 as part of a programme of visiting local care homes. They spoke to 9 residents, 3 members of staff, and the Care Home Manager.

Healthwatch Greenwich had a number of concerns about the home. Clutter in communal areas, unattended maintenance equipment, personal belongings on the inside of the nurse’ station door restricting visibility of residents through the window when the door is closed, and easily assessible broken equipment provide evidence of weak health and safety practices, poor management of refurbishment activity, and lack of thorough risk assessments, increasing risk to resident’s safety.

Healthwatch noted that there appeared to be a somewhat hostile working environment which they felt might have an impact on residents’ experience of care.  They were also concerned that digital care plans didn’t work for all members of staff, increasing the workload for other members of staff, limiting time to care for residents.

Resident views on meals offered at the home are mixed. Healthwatch were told the menu rarely changes, suggesting it does not always meet residents’ needs.

The report contains 7 recommendations about improving health and safety practices, maintenance and hygiene, reviewing confidentiality processes, care home documentation, catering, personalised bedroom doors and improving staff dynamics.

The report contains a detailed response from the provider to the findings and recommendations.

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General details

Report title 
Enter and view: Ashgreen House Residential and Nursing Home
Local Healthwatch 
Healthwatch Greenwich
Date of publication 
Wednesday, 30 September, 2020
Date evidence capture began 
Friday, 17 January, 2020
Date evidence capture finished 
Friday, 17 January, 2020
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
Service delivery organisation and staffing
Staff attitudes
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
Structured 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 
Nursing care home
Residential care home

Details of people who shared their views

Number of people who shared their views 
Age group 
Not known
Not known
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 but provider disagrees
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
Not known

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.