Enter and view: Barleycroft (Unannounced)

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Summary of report content

Healthwatch Havering conducted an unannounced Enter and View on Barleycroft care home in Romford care home in September 2018 and again in November 2019. This visit was arranged as a number of concerns raised about the home. Sep 2018: Enter and View representatives reported that: state of premises had been improved but still lots to do such as updating IT system; performance of staff was being assessed and training arranged although some staff had left; no facilities for residents with communication difficulties; visits from therapy dog; uniform policy in place for all staff; regular meetings for staff to deal with immediate issues; arrangements made for advanced care planning and end of life care; care plans reviewed on monthly basis; weekly GP surgery; medication audits by pharmacist; analysis of falls data being undertaken; regular walk around by manager and deputy; Enter and View representatives observed that lobby clean, tidy and bright; no formal reception; garden was becoming overgrown and little garden furniture; some reception areas better than others; witnessed resident being berated in front of others by staff; overall staff appeared to treat residents with respect; little activities; not all facilities working; residents looked clean Nov 2018: Much improvement made by new manager; garden being overhauled; home still in some disrepair; residents appeared to be the same as Sep 2018 visit; new bed linen purchased but not yet distributed; painting being undertaken; placement of chairs not stimulating; strong odours from rooms and some reception rooms; toilet out of order for 8 weeks in one residents room and he had to relieve himself in a bottle; washing up left in kitchen kitchens needed to be updated; activities timetable on display although little stimulation for residents observe. Recommendations for urgent maintenance; updated IT system; more cleaning staff; improved garden area; extensive redecorating; staff training; menus displayed in rooms; better communication for those not able to communicate verbally; more activities.

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General details

Report title 
Enter and view: Barleycroft (Unannounced)
Local Healthwatch 
Healthwatch Havering
Date of publication 
Friday, 30 November, 2018
Date evidence capture began 
Saturday, 1 September, 2018
Date evidence capture finished 
Thursday, 1 November, 2018
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Digitalisation of services
Food and nutrition
Health and safety
Information providing
Lifestyle and wellbeing
Quality of care
Quality of staffing
Staff attitudes
Staff levels
Staff training
Other information of note about this report 
Meaningful Activities
Activity Coordinator
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
If this work has been done in partnership, who is the partner? 
Primary research method used 
Unstructured 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 about conditions and diseases

Conditions or diseases 
Types of disabilities 
Learning or understanding or concentrating
Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
Age group 
All people over the age of 65
Specific ethnicity if known 
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Not known
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? 
Not known
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? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
What type of impact was determined? 
Implied Impact
Tangible Impact (cost related)
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.