Enter and view: Elm Park Lodge

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Summary of report content

Healthwatch Barnet’s team of volunteers conducted an announced Enter and View (E&V) visit, on 19th September, 2016 to Elm Park Lodge as part of their planned strategy to look at the quality of care in the local nursing homes. Overall the team found Elm Park Lodge to have a good standard of care, with staff and residents having a good relationship but was let down by the poor decorative and unkept state in some parts of the home. According to the report, there were 27 people that were either experiencing or recovering from mental health conditions, residing in Elm Park Lodge. The report highlights poor hygiene where some rooms were in a tired and worn state, especially one room had a dirty floor and unpleasant smell and was in need of redecorating. The E&V team noted an open dustbin in the kitchen and an almost empty fridge which they were told was because most of the food supplies are kept locked in the basement. However, residents thought of staff as ‘friendly’ or ‘good’. They described the food as ‘ok’ or ‘not bad’. Personalised activities were regularly arranged for residents including religious and spiritual ones. The manager informed the team that most of the staff find working there enjoyable as it is a “homely atmosphere”. However, the Healthwatch team felt there was a shortage of staff on weekends especially for cleaning purposes. The report makes the following recommendations: redecoration around the home to improve it’s standards, more regular and better cleaning to be done, rooms to look more homely, review the timings of the Service User Survey, the care plan should be better explained to the residents and make sure there is enough physical activities and a good standard of catering to be available on weekends. The Manager responded that they have already refurbished several bedrooms and bathrooms. They also plan to put in place a more robust cleaning schedule. Though some issues, such as the unpleasant smell coming from the bedroom, can be a result of poor hygiene habits of some of the service users who suffer from mental health problems and may not always be cooperative in cleaning. The Manager also clarified that in some cases the residents don’t sign their care plans, but the care home tries it’s best to keep them involved in their care planning. The Manager also commented on how the activities are organised and the hot meals are provided daily for the residents. At the second visit, carried out on 24th November, 2016, the team found some of the rooms freshly painted with improved decor and plans for the communal areas to be redecorated and improved. According to the Manager, the open bin in the kitchen, does have a lid, but as the bin was in use at that time, the lid wasn't on. The Manager expressed her desire to make Elm Park Lodge the best that it can be with the help of Healthwatch Barnet.

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General details

Report title 
Enter and view: Elm Park Lodge
Local Healthwatch 
Healthwatch Barnet
Date of publication 
Thursday, 24 November, 2016
Date evidence capture began 
Monday, 19 September, 2016
Date evidence capture finished 
Thursday, 24 November, 2016
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Food and nutrition
Information providing
Quality of care
Quality of catering
Other information of note about this report 
Careplan
Meaningful Activities
Carers
Healthwatch reference number 
Rep-1070

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
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 long term conditions 
Mental health condition

Details of people who shared their views

Number of people who shared their views 
6
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? 
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
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.