Enter and view: Derbyshire County Council summary report

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Summary of report content

Healthwatch Derbyshire conducted a series of Enter and View visits as part of a schedule of commissioned unannounced visits to residential care homes by the Derbyshire County Council. Seven visits took place between July 2018 and November 2018. Six of the homes supported older persons who were living with varying degrees of dementia and commonly additional mobility problems. One service was for people who have learning disabilities, some of whom had additional complex needs including mobility difficulties, offered short term/respite care and independent living assessment and training facilities. Questionnaire based interviews were conducted with 21 residents, 13 relatives and 24 staff members. The summary report identified that there were good overall care standards maintained and a range of individual improvements noted. Residents and relatives continue to express an appreciation of the high quality of care experienced and confidence in the staff delivering care. Residents felt safe and both residents and relatives felt confident in raising concerns if they had any. Building maintenance (internal and external) was of a high standard although, improvements in the maintenance of the garden areas were noted across the homes. There were concerns with organised programmes of activity as five of the seven homes indicated the wish for a greater range and frequency to be offered. Residents continued to speak positively about the quality of food/meals received and the choices offered. A number of recommendations were made to provide an update on the progress of the tender for hearing loop services; To advise on the provision of staff training with respect to resident’s oral hygiene care needs; To advise how residents are ensured of regular therapeutic mobility and exercise programmes; To advise of strategies in place to ensure that residents ‘at risk’ of becoming isolated are suitably monitored; To confirm that practices are consistently in place to ensure that residents are reminded of their care choices and rights; To provide a progress update and actions further to the review conducted of external security fencing and gates across the service provision; To provide an update on the senior care worker role implementation review with particular reference to the effectiveness in ensuring residents receive an adequate and stimulating programme of leisure, recreational and therapeutic activities; and to advise of actions in place to address the CQC rating of ‘requires improvement’, particularly where this applied to all five CQC domains, which included one of the newest residential & Community care centre services. Each recommendation has been responded to by the service provider and details an action plan addressing them.

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General details

Report title 
Enter and view: Derbyshire County Council summary report
Local Healthwatch 
Healthwatch Derbyshire
Date of publication 
Wednesday, 27 March, 2019
Date evidence capture began 
Friday, 27 July, 2018
Date evidence capture finished 
Wednesday, 7 November, 2018
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Decor
Food and nutrition
Quality of care
Quality of catering
Quality of staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 
Rep-4504

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Local Council
If this work has been done in partnership, who is the partner? 
Derbyshire County Council
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? 
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 
68
Age group 
All
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
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? 
Yes
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.