Enter and view: Astley Court

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Summary of report content

Healthwatch Salford carried out an Enter and View visit to Astley Court, a communal housing scheme that enable older people over 55, and others who require extra support, to continue to live independently with flexible support and the security of 24/7 emergency response and care from on-site staff.

 

Findings

 

  • The activities were the responsibility of the care provider at Astley Court, with staff sometimes struggling to provide care and activities when care needed to be prioritised
  • Tenants were quite critical about activities and the lack of choice, many spoke of active lifestyles and social lives before coming to the scheme. Some were not able to join in due to health or disability and others stated that advertised social activities were not run.
  • Tenants also spoke of the high instance of people in their late years who were less active living at the scheme, whereas they had always been active. Some tenants didn’t think more able and active tenants were supported enough at the scheme to remain so.
  • Lack of activities and social contact also had an impact on tenant’s sense of wellbeing, with mixed responses to the questions of being happy and if an extra care scheme was of benefit to them and their health. There was an awareness of a link between physical activity and health and the lack of this impacting negatively on both health and wellbeing.
  • Several comments indicated isolation and loneliness, which also impacts on wellbeing. When discussing care needs tenants spoke quite positively of personal care needs being met but some spoke of how their health and need for stimulation were not being met and of standards slipping.
  • Most of the tenants spoken to didn’t believe that care staff knew them well or knew what they liked and didn’t like. A few tenants mentioned that they thought that some understood how they felt but not all carers demonstrated this.
  • In contrast to the more critical responses about lack of activities, stimulation and support in some areas, reassuringly tenants replied quite positively to the question of if all staff treated them with dignity and respect. From the perspective of care staff, it was evident that they too were feeling the effects of being rushed and busy, with some reporting high levels of stress and concern that they had to drop activities to prioritise care and not having enough time to properly interact and socialise with tenants.

Recommendations – care provider

 

  • The care provider should work closely with City West’s new Community Wellbeing Officer to come up with solutions and new activities and that there be a focus on inclusive physical activity and mental stimulation to suit different abilities or smaller group activities were more support can be given.
  • The Care Coordinator and housing staff should review their communication methods against the needs of tenants and best practice, such as the Accessible Information Standard 2015, to ensure they are making every effort to communicate with tenants and enable tenants to communicate too. Reviewing staffing, with the aim to increase care hours would also help with this.
  • The care provider should request a review from social services about the number of hours contracted to support tenants, to increase the hours of care and staffing to raise standards and ensure that care is always effective, caring and responsive.
  • The care provider should ensure that the Care Coordinator has opportunities to meet with tenants and relatives such as feedback surgeries and regular meet and greet sessions.

Recommendations – housing provider

  • City West’s new Community Wellbeing Officer should work closely with care staff and extend a questionnaire to staff also to understand their challenges and ideas around activities, not just tenants. They should also get in touch with Salford CVS around volunteer involvement. Salford CVS run a ‘Volunteering in Care Homes Project’, which extends to extra care.
  • The housing provider should replace the door numbers with some that are a different colour that stands out and make sure that they are at an appropriate height for tenants to read or touch.

The report contains detailed responses to the recommendations by both the care and housing providers.

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General details

Report title 
Enter and view: Astley Court
Local Healthwatch 
Healthwatch Salford
Date of publication 
Thursday, 5 December, 2019
Date evidence capture began 
Sunday, 5 August, 2018
Date evidence capture finished 
Sunday, 5 August, 2018
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Complaints procedure
Decor
Engagement
Holistic support
Lifestyle and wellbeing
Quality of care
Quality of staffing
Staff attitudes
Staff levels
Healthwatch reference number 
Rep-5054

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
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? 
Announced

Details of health and care services included in the report

Social care services 
Extra care housing services

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

Number of people who shared their views 
16
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 
Care / support workers
Service manager
Does the information include other people's views? 
Yes
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? 
Not known
What type of impact was determined? 
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.