Enter and View: Cherry Orchard Nursing Home, Dagenham, Essex

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Summary of report content

Healthwatch Barking and Dagenham conducted an Enter and View on Cherry Orchard Nursing Home Derby, a privately owned nursing home catering for various levels of dementia. The visit was conducted on 15th January 2018. The home is run by Care UK Ltd and has 38 individual rooms. Not all rooms were occupied on the day of the visit. This visit was undertaken as a direct result of feedback received from individuals from the local area who knew people using this service. Observation by the enter and view representatives reported that: At the time of the visit, representatives were informed that a manager was being recruited and expected to take up post by March 2018. Overall, for the specific areas of the service that Healthwatch focused on during the visit, representatives agreed that the service was satisfactory. There were some concerns from the feedback received, that the quality of care was at times, being negatively affected by the number of staff available to adequately coverall the units. The living areas were clean and tidy - staff were observed helping residents with their food, leaving others to feed themselves. Representatives saw that there were communal areas used for activity and other lounges that had residents sitting around with a TV on not doing much. Although activity schedules were visible on the walls of each unit, there was nothing written on them for anyone to see what was planned for the forward programme of events. To help residents relate to and remember life experiences, tactile areas in each of residential wings of the home, are situated in the corridors. Each unit had themed pictures on the walls too. The home has a large garden area with pathways around it, interspersed with various themed set ups to remind residents of some of their life experiences. For example; there was a chicken coup with chickens in. The following recommendations were made: A re-occurring theme from the visit was that there are often times that residents didn’t get the care and support that they needed due to the number of staff available, being stretched to work across the three units of the home. Healthwatch would like to know what measures are being taken to ensure that all residents get the care and support they need on a daily basis and that additional staff are employed to provide the standard of service that residents need. It is a concern that dental hygiene for residents doesn’t seem to happen often enough and that it could have a detrimental effect on their health. Healthwatch recommends that regular dental health checks are included in individuals’ care plans and that the appropriate arrangements are put in place to ensure that residents with challenging behaviour are supported to see a dentist regularly. Visible schedules should be fully completed so that people can see and are aware of future plans for entertainment and other activities for the residents. At particular times, when reception and front desk staff are not available, the home should consider having an alert system in place that indicates to other staff when guests coming to visit residents need to be let in through the secure gate. This is so visitors are not left waiting outside for lengthy periods of time. Care UK provided a reponse on the 8th May 2018 despite the visit being in January 2018. The response answered all recommendations and agreed to make some changes icluding a manager being in place.

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General details

Report title 
Enter and View: Cherry Orchard Nursing Home, Dagenham, Essex
Local Healthwatch 
Healthwatch Barking And Dagenham
Date of publication 
Tuesday, 8 May, 2018
Date evidence capture began 
Monday, 15 January, 2018
Date evidence capture finished 
Monday, 15 January, 2018
Type of report 
Enter and view
Key themes 
Access
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Continuity of care
Decor
Food and nutrition
Health promotion
Information providing
Patient records
Quality of care
Quality of catering
Quality of staffing
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Other information of note about this report 
Careplan
Meaningful Activities
Carers
Healthwatch reference number 
Rep-5901

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
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

Primary care services 
GP practice
Mental health services 
Older peoples mental health community service
Social care services 
Nursing care home

Details about conditions and diseases

Types of disabilities 
Memory
Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
10
Age group 
All
Gender 
All
Ethnicity 
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? 
Yes
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
Is there evidence of impact external to the report? 
No
What type of impact was determined? 
Implied Impact

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.