Enter and view: Ashton Lodge, Bedfordshire

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Summary of report content

Healthwatch Bedfordshire conducted an announced Enter and View visit on 10 February 2015 to Ashton Lodge Care Home. The home provides care for people with dementia, those with long term conditions, frailty and end of life care. 4 residents as well as several relatives and 4 members of staff were spoken to. general observations of the home were also recorded. The findings show that at the time of the visit, the home was operating to a good standard of care with regard to dignity and respect with staff interacting with residents positively and regularly. Residents looked tidy, clean and well cared for, representatives saw no evidence of dignity not being respected. The most important aspects of the home, according to some residents, were feeling warm, safe and secure; the friendliness of staff and other residents; the cleanliness of the home and engagement with the staff. Residents spoken to were generally happy with the meals, the menu was balanced and nutritious, and mealtimes were suitable for the residents. Representatives observed activity co-ordinators engaging fully and enthusiastically with residents; their efforts were highly praised both by the residents and their relatives. Representatives noted that some of the corridors were fairly narrow and could give restrictive access to the passage of people and wheelchairs/hoists etc. Some concerns were raised by residents, relatives and a few staff members, that there was currently insufficient care staff, particularly during the night shift. The concerns related to the size of the home, operating over three floors and the level of care needed. As a result, a recommendation was made to engage additional care staff, particularly during the night shift. It was also recommended that the report be shared with residents and their relatives to allow them the opportunity to comment further should they wish to do so. Whilst the reports states that the management of the home was attentive to all suggestions for improvement, Healthwatch Central Bedfordshire did not receive a response to the report’s recommendations from the service provider despite reminders over the three months following the visit.

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General details

Report title 
Enter and view: Ashton Lodge, Bedfordshire
Local Healthwatch 
Healthwatch Central Bedfordshire
Date of publication 
Friday, 2 October, 2015
Date evidence capture began 
Friday, 2 October, 2015
Date evidence capture finished 
Friday, 2 October, 2015
Type of report 
Enter and view
Key themes 
Cleanliness hygiene and infection control
Communication between staff and patients
Food and nutrition
Staff attitudes
Staff levels
Other information of note about this report 
Activity Coordinator
Activities
Healthwatch reference number 
Rep-5171

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Observation
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 
Residential care home

Details about conditions and diseases

Types of disabilities 
Long term condition
Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
8
Age group 
All
Gender 
All
Ethnicity 
All
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 
Care / support workers
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? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

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.