Enter and view: Castlle Court Care Home

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Summary of report content

Healthwatch Derbyshire conducted an announced Enter and View visit to Castle Court Care Home, a 41 bed purpose built Care Home, on 10 February 2014. For the purpose of this visit, Healthwatch Derbyshire wanted to observe ‘What good looks like’ within a care home setting. Castle Court was randomly selected, alongside 9 other Care Homes who had been awarded the Derbyshire County Council Bronze Dignity Award. At the time of the visit, the Authorised Representatives observed the home was operating to a very good standard of care with respect to Dignity and Respect. The home is purpose built as a Residential Care home and appears to have been maintained to a good standard. Residents were observed to be well dressed and cared for, and have a nominated Carer to look after their personal care and deal with concerns. Residents also enjoy a measure of choice in the arrangement of their rooms. The report states that alterations to the dining room/lounges funded by a grant from the Prince’s Fund are about to be implemented. The visiting team felt that the evidence suggests that the residents are generally happy with the food menu, there are good facilities and opportunities for the residents to enjoy recreation and social activities if they wish, and that residents are encouraged to be as independent as possible. Discharge communications from the Queens Hospital, Burton-on-Trent require improvement as there have been instances where the Hospital have not returned patients medication with them on discharge. To overcome this, the Home now send residents with their individual MAR (Medicine Administration Record) instead of sending the medication. The Home has also experienced Hospital in-patient discharge without medication, discharge from hospital without a letter, patients discharged without prior notice to the home to expect them. One case was cited where a resident was taken by hospital arranged transport to the patient’s home when they no longer lived there. No recommendations were made in the report, although Healthwatch Derbyshire offered their help in addressing the issues around Hospital discharge. No provider response was included within the report.

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General details

Report title 
Enter and view: Castlle Court Care Home
Local Healthwatch 
Healthwatch Derbyshire
Date of publication 
Monday, 10 February, 2014
Date evidence capture began 
Monday, 10 February, 2014
Date evidence capture finished 
Monday, 10 February, 2014
Type of report 
Enter and view
Key themes 
Access
Administration
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Consent to care and treatment
Continuity of care
Decor
Engagement
Food and nutrition
Health and safety
Health promotion
Health protection
Holistic support
Lifestyle and wellbeing
Medication
Quality of care
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Other information of note about this report 
Good Practice
Healthwatch reference number 
Rep-5058

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

Secondary care services 
Acute services with overnight beds
Social care services 
Residential care home

Details about conditions and diseases

Types of disabilities 
No
Types of long term conditions 
Not known
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 
7
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
No
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? 
Positive

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
No
Does the information contain a response from a provider? 
No
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.