Enter and view: Beech House Residential Care Home

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Summary of report content

Healthwatch Salford carried out an Enter and View visit to Beech House, a residential care home with places for up to 36 residents.

The home was evaluated against eight quality indicators: strong, visible management; staff with the time and skills to do their jobs; good knowledge of each individual resident and how their needs may be changing; a varied programme of activities; quality, choice and flexibility around food and mealtimes; ensuring residents can regularly see health professionals such as GPs, dentists, opticians or chiropodists; accommodating residents’ personal, cultural and lifestyle needs; and being an open environment where feedback is actively sought and used.

At the time of Healthwatch Salford's visit, the new manager of Beech House Residential Care Home had only been in post for 3 weeks and as such was unaware that the Enter and View was going to be taking place at that arranged time. Nonetheless, she was welcoming and very open in her responses as to what she would like to change about the home. Unfortunately, after the visit, this manager left and Healthwatch Salford were then in contact with a development manager who responded to the report and recommendations.

Residents seemed to be quite happy in their daily life at the home, but it was noted that the severe lack of activities and restricted food menu contributed to boredom and lack of general interest and appetite.

There appeared to be mixed sentiments from the staff team during interview, with newer staff feeling more stressed and being less aware of procedures and policies, such as each resident having a food and fluid chart and knowing where to find information in the care plan.

On the whole staff seemed dedicated to care but with some divide between staff, i.e. some viewed others as less caring when they acted like it was just a job and not helping or answering the questions of newer staff. The staff interviewed said that this negatively impacted on the care provided and morale within the team. The manager was aware of many of the issues around staffing and the report highlighted that staff were also aware and seeing these issues too, so with some constructive changes involving staff these areas could be improved.

Based on these findings, Healthwatch Salford made a number of recommendations. The report includes a positive response to these recommendations from the service provider.

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General details

Report title 
Enter and view: Beech House Residential Care Home
Local Healthwatch 
Healthwatch Salford
Date of publication 
Thursday, 5 December, 2019
Date evidence capture began 
Thursday, 15 March, 2018
Date evidence capture finished 
Thursday, 15 March, 2018
Type of report 
Enter and view
Key themes 
Access
Admission
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Decor
Engagement
Food and nutrition
Holistic support
Information providing
Lifestyle and wellbeing
Quality of care
Service delivery organisation and staffing
Staff attitudes
Staff training
Other information of note about this report 
Activities
Healthwatch reference number 
Rep-5038

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? 
Announced

Details of health and care services included in the report

Social care services 
Residential care home

Details of people who shared their views

Number of people who shared their views 
10
Age group 
All
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
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? 
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? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Yes
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.