Enter and view: Bank Hall Farm

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Summary of report content

Healthwatch Cheshire West conducted an announced enter and view visit to Bank Hall Farm, a residential home providing support to people with mental health needs, Autism and Learning Disabilities, on 4 March 2014. The Home has 6 male residents all in the main residence, with their own ensuite rooms and one female resident in a self contained bungalow situated on the site. The Enter and View Authorised Representatives noted that, although the visit had been arranged and announced, it appeared that they were not expected by staff or residents. The report notes that interaction with residents was limited as residents either had communication problems and/or severe difficulty in holding their concentration. Staff were of different ages and experience and appeared open and honest and the Authorised Representatives felt that they appeared to seem supportive to those in their care. However, at the time of the visit, Authorised Representatives did not feel that activity and facilities matched those as advertised on the website and that more could be done to encourage independence. Residents were not allowed in to the kitchen and were not encouraged to help with even small chores such as pouring drinks or helping with laundry. The Home has a mini bus which can be used for outings, however the report notes that if the female resident went out using the mini-bus, any male residents could not go on the same journey, as she had to be on her own. When the visiting team asked staff about the activities advertised on the Home's website, staff were unaware of these, for example the Delamere Forest volunteering experience, but staff advised that one resident does a 30 minute work experience at a local Post Office. The recommendations made in the report address the disconnect between what the Home advertises and what it actually delivers, including encouraging the Home to include residents in daily household tasks to support independence. There is no provider response included within the report, although there is a suggestion that this Home would be revisited within a 6 month timeframe.

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General details

Report title 
Enter and view: Bank Hall Farm
Local Healthwatch 
Healthwatch Cheshire West and Chester
Date of publication 
Tuesday, 4 March, 2014
Date evidence capture began 
Tuesday, 4 March, 2014
Date evidence capture finished 
Tuesday, 4 March, 2014
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Consent to care and treatment
Food and nutrition
Health and safety
Health promotion
Holistic support
Lifestyle and wellbeing
Quality of care
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Primary research method used 
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 
Assisted living
Residential care home

Details about conditions and diseases

Types of disabilities 
Learning or understanding or concentrating
Mental health
Types of long term conditions 
Learning disability
Mental health condition
What type of pregnancy or maternity themes are included in the report 

Details of people who shared their views

Number of people who shared their views 
Age group 
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
Does the information include other people's views? 
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? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 

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.