Enter and View: Clore Manor

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Summary of report content

Healthwatch Barnet conducted an announced Enter and View visit, to Clore Manor on 18th May 2016. Clore Manor is run by Jewish Care for older people with dementia. There were 66 residents present on the day of the visit. The report highlights that there was poor access to dental care, with some residents unable to see a dentist; the residents had access to a pleasant garden with a smoking area, however there were also signs of a dirty window, a stale lounge that needed more fresh air and a lack of some quiet places for the residents to relax in. Residents had access to a dietician to support their dietary needs. All communal areas are strictly kosher. They strictly do not admit people on Sabbath or Jewish holidays, apart from emergencies. The team further noted that all residents had a care plan but not all of them seemed to know that they were meant to sign it. All residents are assigned a key worker and on the day of the visit there were 11 DOLS in place. Residents' end of life wishes were recorded in their care plan, but this was not evident in the particular care plan reviewed by the team. Residents' health and wellbeing provisions are attended to by a GP, Chiropodist, optician and a nurse. It was mentioned that provision of dental care might be an issue. Religious needs were met by the daily visit from a Rabbi and many other activities take place for the residents to enjoy. The report details the staff working at the home, receiving continuous training in all areas and noting the low staff turnover within the last 6 months. A whistle blowing policy is in force and has been used. The team found the atmosphere to be “bright and caring” and made several recommendations, some of which were; to look into improving provision for dental care, to keep a site complaints book with all issues and how and when they were resolved, to encourage residents to wash their hands before meals, to extend relevant specialist training to include junior staff, to involve family members in the care plan which could also include residents’ internment wishes and details as appropriate, and for residents to have more access to the quite room. Some of the recommendations have been implemented and a response from the manager has been received.

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General details

Report title 
Enter and View: Clore Manor
Local Healthwatch 
Healthwatch Barnet
Date of publication 
Wednesday, 18 May, 2016
Date evidence capture began 
Wednesday, 18 May, 2016
Date evidence capture finished 
Wednesday, 18 May, 2016
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Continuity of care
Holistic support
Information providing
Quality of care
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Other information of note about this report 
Careplan
Carers
Healthwatch reference number 
Rep-1069

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Engagement event
Observation
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 
Residential care home

Details about conditions and diseases

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

Details of people who shared their views

Number of people who shared their views 
5
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? 
No
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 
Administrative
Care / support workers
Service manager
Does the information include other people's views? 
Yes
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? 
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.