Enter and view: The Grange Care Home

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Summary of report content

Healthwatch Derbyshire conducted an Enter and View visit to The Grange Care Home on 16 February 2018. During 2017/2018, Healthwatch Derbyshire invited local health and social care organisations to nominate services where an Enter & View was considered suitable and would benefit both the service and the provider and/or commissioner of that service. The Grange Care Home was nominated by Hardwick Clinical Commissioning Groups. This home offers 50 en-suite single rooms spread over two floors, providing both residential and nursing care. Six rooms have connecting doors, offering up to three double rooms which can serve as a private living room and separate bedroom. At the time of the visit one double room was occupied by a married couple. Respite care beds are also available. Enter and View Authorised Representatives gathered information through observation and by speaking with residents, their visitors, and staff. The report notes that: the décor of the ground floor was in good condition and the entrance lobby and hall welcoming, however the first floor appeared less homely and required refurbishment; residents and visitors praised the quality of the food; there appeared to be a broad offer of activities provided for residents; Authorised Representatives observed good signage and visual aids across the property to support resident’s needs. One negative observation noted that relatives raised some concerns around care plans not being followed and toileting prompts or assistance not being made frequently enough. The Service Provider responded positively to the report and has responded with actions that have been taken, or are underway, in relation to all 15 recommendations made by Healthwatch Derbyshire.

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General details

Report title 
Enter and view: The Grange Care Home
Local Healthwatch 
Healthwatch Derbyshire
Date of publication 
Friday, 4 May, 2018
Date evidence capture began 
Friday, 16 February, 2018
Date evidence capture finished 
Friday, 16 February, 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
Consent to care and treatment
Continuity of care
Decor
Engagement
Food and nutrition
Health and safety
Holistic support
Lifestyle and wellbeing
Patient records
Quality of care
Quality of staffing
Service delivery organisation and staffing
Other information of note about this report 
Careplan
Healthwatch reference number 
Rep-6817

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
CCG
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 
Nursing care home
Residential care home

Details about conditions and diseases

Types of disabilities 
Not known
Types of long term conditions 
Not known
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
6
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
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
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.