Enter and view: Cranham Court Nursing Home, follow-up visit

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Summary of report content

Healthwatch Havering re-visited Cranham Court Nursing Home, on 16th, March 2017 to review and discuss areas of improvement that had been flagged up on the last visit/report of April 2016 and the CQC report of November 2016. The team were well received in a bright and welcoming reception with lots of information available for visitors. The team spoke with 5 members of staff, 2 relatives of residents and 9 residents in total during that visit. The home had undertaken a complete revamp of all their procedures and documentation, and they showed the team records for the following areas: staff meetings, maintenance records, registered nurses’ meetings, meetings between both units, and residents’ meetings. The meetings have helped the communication between the staff, residents and the management and were improving the quality of care. The HW team observed that the home was making a great deal of effort in improving and maintaining the environment of the home, by updating the carpets and bathroom and redecorating other areas. Other areas in the home that showed improvement were the Dementia ward and the activities planned. The home had, since the last CQC report, looked again at their process of ordering medicines and had discussed ordering procedures with the pharmacist and GP, and they now had in place a 28 day repeat prescriptions arrangement rather than a 3-month agreement, which was working well. The management had also brought in a very strict procedure and the Mars Sheets were now reviewed daily by the Manager or Assistant Manager and signed off as appropriate. The team felt that, all in all, the home had made huge attempts to address the improvements indicated by the CQC and Healthwatch. The management were extremely open, helpful and used records to validate these improvements.

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General details

Report title 
Enter and view: Cranham Court Nursing Home, follow-up visit
Local Healthwatch 
Healthwatch Havering
Date of publication 
Friday, 17 March, 2017
Date evidence capture began 
Thursday, 16 March, 2017
Date evidence capture finished 
Thursday, 16 March, 2017
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Quality of care
Staff levels
Healthwatch reference number 
Rep-1166

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? 
Announced

Details of health and care services included in the report

Social care services 
Nursing care home

Details of people who shared their views

Number of people who shared their views 
16
Age group 
All
Gender 
All
Ethnicity 
All
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 
Receptionists
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? 
Yes
Is there evidence of impact external to the report? 
No
What type of impact was determined? 
Tangible Impact (cost related)
Tangible impact (not cost related)

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.