Enter and view: Elmhurst Residential Home

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Summary of report content

Healthwatch Barnet conducted an Enter and View visit to Elmhurst Residential Home, a privately-run home for older people living with dementia, on 24 August 2017. The home also provides a respite service. The visit was part of Healthwatch Barnet’s Enter and View schedule. Observations by the Enter and View team reported that the environment was clean; the home was well-run with a good atmosphere, happy residents, and satisfied relatives; the quality of food was very good; staff commitment and level of care were impressive; getting up and going to bed was encouraged when a resident does not feel like getting up, but never forced; care planning demonstrated a person-centred approach, while residents and relatives commented that their care plans were easy to understand; hospital discharge had improved from discharging residents late at 23.00 to 18.00, as a result of the home taking part in the Royal Free pilot; residents had access to nearby spiritual services from the Greek Church and the Catholic Church; and generally, residents and relatives felt engaged in how the home was run day to day. Negative observations were made by the Enter and View team; the home was experiencing long delays in communication regarding DoLs; there was a pleasant garden but it was not used by residents; residents seemed to be unsure or unaware of what activities were available at the home; some areas in the home may not be accessible by all residents. Healthwatch Barnet made the following recommendations: 1) To consider whether it is possible to make more use of the garden for residents with better access to/from the balcony. 2) To improve access from the sitting room to the terrace for wheelchair users. 3) To consider re-arranging some of the furniture in the lounge area to encourage more socialising. 4) To provide hand-wipes for residents to use prior to eating. 5) Introducing more planned dementia specific activities. The service provider responded well to the recommendations and gave an action plan to address them.

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General details

Report title 
Enter and view: Elmhurst Residential Home
Local Healthwatch 
Healthwatch Barnet
Date of publication 
Thursday, 24 August, 2017
Date evidence capture began 
Thursday, 24 August, 2017
Date evidence capture finished 
Thursday, 24 August, 2017
Type of report 
Enter and view
Key themes 
Access
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Food and nutrition
Health and safety
Information providing
Lifestyle and wellbeing
Quality of care
Quality of staffing
Staff attitudes
Staff levels
Staff training
Support
Other information of note about this report 
Careplan
Meaningful Activities
Activity Coordinator
Healthwatch reference number 
Rep-1564

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Observation
Structured 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 
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 
16
Age group 
All people over the age of 65
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
Sexual orientation 
Not known
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
Service manager
Does the information include other people's views? 
Yes
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? 
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? 
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.