Enter and view: Dothan House

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Summary of report content

Healthwatch Havering conducted an Enter and View visit on 3rd December 2018 to Dothan House, a residential care home with capacity for up to 19 residents with dementia. The report found that staff were well trained and were able to undertake training in work time or paid overtime. Training included dementia training and dignity and person centred-care training. Care plans were reviewed every 4-6 weeks and monthly residents meetings were held. The activities were organised by the manager and were fairly limited but included music therapy and arts and crafts. There were a number of infection control measures taken, including providing cleaning cloths, coloured buckets and mops and deep cleaning of chairs. Residents were registered with a GP and a chiropodist visits monthly. There had been issues of late where wrong discharge letters had been sent to the home and staff reported that the discharge process to and from the hospital was not good. Jugs of water and glasses were available on a small table in the lounge but no resident was seen to leave their chair at any time during the visit, which lasted several hours. The team felt that the home needed attention and redecoration. A number of recommendations were made, for example, the shower room should be upgraded; Staff should be trained in treating residents with respect and dignity; Staff should be reviewed to ensure that their understanding of what they have learned in training is reinforced and applied; If the bar area is to be used by residents, the ruffled-up carpet should be replaced, as it is a trip hazard; and Audio books for the residents could be obtained from the library. The service provider responded to these recommendations and stated that the recommendations were being addressed, which suggests that Healthwatch Havering's visit has resulted in and positive change and tangible impact.

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General details

Report title 
Enter and view: Dothan House
Local Healthwatch 
Healthwatch Havering
Date of publication 
Thursday, 4 April, 2019
Date evidence capture began 
Monday, 3 December, 2018
Date evidence capture finished 
Monday, 3 December, 2018
Type of report 
Enter and view
Key themes 
Access
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Decor
Food and nutrition
Health and safety
Quality of care
Staff levels
Staff training
Healthwatch reference number 
Rep-4514

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? 
Not Known

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 
Unknown
Age group 
All
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 
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? 
Tangible Impact (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.