Enter and view: Bognor Regis - Ashley House

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Summary of report content

Reference 5136 Ashley House (West Sussex) Healthwatch West Sussex’s team of authorised representatives made an announced Enter and View visit to Ashley House, a registered accommodation for young adults with physical and associated disabilities, on 12th January 2015. Ashley House has 16 rooms and staff provide personal (but not nursing) care to residents. This project was initially planned as a responsive visit to feedback which Healthwatch West Sussex had received about alleged deficiencies in care at Ashley House, and as a follow up from the May 2014 CQC inspection where lay perspective might add value and complement their findings. The intention was to get an overall sense by asking open questions on dignity issues from residents, relatives and staff where available. The questionnaire used by the team expands the enquiry into general issues of dignity. These include prompts on choice & control, communication and pain management, personal hygiene, privacy and social inclusion. The team interviewed the Manager, 4 residents and 3 staff members. The residents acknowledged the choices they had in their care plans and that staff assisted appropriately. However, some anxiety was expressed about the move to the new premises and the possible lack of choices there. The residents spoken to agreed that most carers, mainly the permanent staff, spoke respectfully and that resident were given time to speak and were listened to. The agency staff didn’t always speak as respectfully though. There was evidence of good practice while observing residents with significant communication difficulties being given time to talk and included in conversations, through Makaton signing and other communication formats. Pain management was well handled by the staff though, residents are now required to purchase medication which was previously provided by the home. The team observed that all residents were smartly dressed, and they were told that staff maintained the residents’ appearance and hygiene well. Privacy and confidentiality was maintained well by the staff at the home with no major complaint from the residents. Although there was little evidence of social or group activities in the home, there were many examples of how the residents go out into the community and have contact with friends and family or use social media. The Healthwatch team made a few recommendations based on all the findings and feedback. The service provider has provided a detailed response in relation to purchasing the pain medication, residents privacy, social inclusion, staff training and other matters. The response also highlights the provider’s determination to improve the service welcomes the feedback received on it.

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General details

Report title 
Enter and view: Bognor Regis - Ashley House
Local Healthwatch 
Healthwatch West Sussex
Date of publication 
Monday, 12 January, 2015
Date evidence capture began 
Monday, 12 January, 2015
Date evidence capture finished 
Monday, 12 January, 2015
Type of report 
Enter and view
Key themes 
Access
Cleanliness hygiene and infection control
Communication between staff and patients
Health and safety
Health promotion
Quality of care
Staff attitudes
Staff training
Other information of note about this report 
Safeguarding
Good Practice
Healthwatch reference number 
Rep-5136

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
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 
Day care (social care services)
Home care / domiciliary care

Details about conditions and diseases

Types of disabilities 
Long term condition

Details of people who shared their views

Number of people who shared their views 
8
Age group 
All people 18 and over
Gender 
All
Ethnicity 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
Not known
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? 
Positive

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Yes but provider disagrees
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.