Enter and view: Ashling House, Havering

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Summary of report content

Ashling House is a small home set in a quiet residential area of Hornchurch, about half a mile from shops and public transport links to the town centre. The home has 14 residents, 9 of whom are living with dementia. There are 12 single rooms and 1 shared room, with four of the rooms having en suite facilities. The home: • Is well presented, homely with numerous personal touches and a resident dog and cat. • Kitchen was very clean, menus were on display, changed every four weeks and special dietary requirements listed on the wall for individual residents. Protected meal times for both lunch and dinner. • Residents encouraged to keep personal effects in their own rooms. • Offer of planned respite care but will not take emergency respite care as the Manager prefers to have as much information about a resident as possible before admission. • Manager has a detailed care plan about each resident’s needs, likes and dislikes and all their medical records, aiming to make the resident’s placement as comfortable as possible and to provide for individual needs. • Uses picture boards, etch-a-sketch, sign language and picture boards for anyone with communication problems. • Rooms have sensor mats which are monitored from a ground floor screen. CCTV used for falls monitoring and the general safety of staff and residents. • Has protected medication rounds and the staff members wear a “do not disturb” tabard. • Allocated GP attends every week. • Access for residents to physiotherapists, chiropodists and an optician who called twice a year; access to a community dentist (but was proving difficult at present). Residents had regular hearing checks. • Residents had access to a hairdresser every fortnight. • 15 staff and management had group supervision meetings, covering changes in care and policy. • Nutrition, body mapping and tissue viability - Residents were weighed on admission and thereafter monthly. SALT assess residents • Discharge from hospital - Experiences varied. Weekend discharges were poor. Recommendations: A well-presented comfortable home. No issues were noted.

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General details

Report title 
Enter and view: Ashling House, Havering
Local Healthwatch 
Healthwatch Havering
Date of publication 
Saturday, 9 September, 2017
Date evidence capture began 
Tuesday, 6 June, 2017
Date evidence capture finished 
Tuesday, 6 June, 2017
Type of report 
Enter and view
Key themes 
Cleanliness hygiene and infection control
Decor
Discharge
Food and nutrition
Health and safety
Lifestyle and wellbeing
Medication
Patient records
Staff levels
Staff training
Other information of note about this report 
Safeguarding
Meaningful Activities
Activity Coordinator
Activities
Healthwatch reference number 
Rep-6569

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
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Not Known

Details of health and care services included in the report

Primary care services 
GP practice
Optometry services
Secondary care services 
Chiropody
Dementia
Nutrition and dietetics
Palliative
Physiotherapy
Social care services 
Nursing care home
Respite care

Details about conditions and diseases

Types of long term conditions 
Alzheimer’s disease or dementia
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Age group 
Not known
Gender 
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? 
No
Does the information include staff's views? 
No
Types of health and care professionals engaged 
Service manager
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 
Not known

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
Not applicable
Is there evidence of impact external to the report? 
Not applicable

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.