Enter and view: Gracefields Nursing Home

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Summary of report content

Healthwatch South Gloucestershire gather information on people’s experiences of health and social care services and there are times when it is appropriate for Healthwatch South Gloucestershire to see and hear for themselves how services are being delivered: these visits are called ‘Enter and View’, they are not inspections. Healthwatch South Gloucestershire visited Gracefields Nursing Home on 21st January 2015. The key findings highlighted areas in relation to patient feedback, staff feedback and observation. The report informs overall, the standard of care and service provided at Gracefields Nursing Home was found to be satisfactory and what could be expected in the provision of nursing care and support for older and vulnerable people, and in particular people with dementia. There were a number of issues that residents raised with the authorised representatives; for example, insufficient hot water for a shower, not knowing how to use the telephone system, hot food being cold when presented in the dining room, and being unaware of daily activities and events. These could be dealt with during daily ‘walk rounds’ and by the Home having regular, minuted, residents and relatives meetings. Healthwatch South Gloucestershire would like assurance that the matters raised by residents and relatives/visitors will be dealt with promptly. The Care Home Manager, who has been at Gracefields Nursing Home for nearly 3 (three) months, is planning to make a number of positive changes; for example, forging links with the local community and instigating residents and relatives meetings. Healthwatch South Gloucestershire would like to see these developments in place as soon as possible; with a particular recommendation to build intergenerational community links. There is however, one major concern that Healthwatch South Gloucestershire would like to raise with Gracefields Nursing Home; that is, the lack of understanding of the English language that a number of care staff demonstrated. Healthwatch South Gloucestershire believe this may have an adverse impact on the quality of communication with residents, and the care they receive; in particular those residents with cognitive impairment. Healthwatch South Gloucestershire would appreciate a response from Gracefields Nursing Home detailing how this concern will be dealt with.

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General details

Report title 
Enter and view: Gracefields Nursing Home
Local Healthwatch 
Healthwatch Gloucestershire
Date of publication 
Wednesday, 21 January, 2015
Date evidence capture began 
Wednesday, 21 January, 2015
Date evidence capture finished 
Wednesday, 21 January, 2015
Type of report 
Enter and view
Key themes 
Communication between staff and patients
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Primary research method used 
Structured interview
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Social care services 
Nursing care home
Residential care home

Details of people who shared their views

Number of people who shared their views 
Not known
Age group 
Not known
Not known
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 

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.