Enter and view: Chesham Leys Care Home

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Summary of report content

Healthwatch Buckhinghamshire conducted an Enter and View visit to Chesham Leys Care Home in January 2019. This visit was part of a series of Enter and Views visits in the Dignity in Care programme. Chesham Leys provides nursing care for 52 people, several of whom were living with dementia. We talked to 10 residents, 2 staff and 2 visitors and observed another 16 residents and 6 staff. Observations included that some areas were left unattended by staff making it difficult for residents to alert anyone if they needed help. The activities schedules was varied and residents reported that they enjoyed going on trips outside of the home. There was mixed feedback regarding the staff in that some reported that they were very caring and others that it was difficult to communicate. Residents felt they were treated with respect but on occasion staff did not knock before entering their room. Again, there was mixed feedback regarding the quality and choice of food. Recommendations included: ensure residents have accessible call bells / pendants in communal areas; remind staff to anticipate personalised care and remember preferences such as brown rather than white bread, ask whether people who like to be hoisted to an arm chair in the morning etc.; deep clean the carpets outside the lounge and dining room on the ground floor and anywhere else where this is needed, to remove any lingering urine smell; remind staff to knock on doors and wait for permission before entering bedrooms; maximise individual choice through beakers / cups appropriate to each person’s needs; remember to ask what people would prefer to eat rather than assume it’s the same as last time; review the menus for options and quality and ensures menus are readily accessible to residents; create a pictorial activity schedule; create pictorial menus ; and increase interaction, and activities, between staff and residents.

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General details

Report title 
Enter and view: Chesham Leys Care Home
Local Healthwatch 
Healthwatch Buckinghamshire
Date of publication 
Tuesday, 5 March, 2019
Date evidence capture began 
Tuesday, 15 January, 2019
Date evidence capture finished 
Tuesday, 15 January, 2019
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Lifestyle and wellbeing
Quality of care
Quality of staffing
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 
Rep-4467

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Observation
Unstructured Interview
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Unannounced

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 
36
Age group 
All people 18 and over
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
Sexual orientation 
NA
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 
All care professionals
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? 
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.