Enter and view: Green Trees Care Home

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Summary of report content

Healthwatch Enfield gather information on people’s experiences of health and social care services and there are times when it is appropriate for Healthwatch Enfield to see and hear for themselves how services are being delivered: these visits are called ‘Enter and View’, they are not inspections. Healthwatch Enfield visited Green Trees Care Home on 27/08/2014. The summary of findings highlighted areas in relation to patient feedback, staff feedback and observation. These findings informed, Healthwatch Enfield found on the day of their visit, the residents at Green Trees Care Home appeared to be generally content, and the relatives they heard from seemed satisfied with the services provided by the care home. It was clear to us that the management have made efforts to address many of the concerns which were pointed out in the most recent CQC report and that this work is ongoing. However, in the course of the visit we became aware of a number of issues which gave us cause for concern. The key issues are the apparent lack of awareness amongst staff and management of current good practice in providing holistic care for people with dementia or mild cognitive impairment. A truly person-centred approach to care. Opportunities for residents to take part in the activities of daily living in order to retain their independence as far as possible. Opportunities for residents to move about freely inside the care home and to take part in appropriate physical exercise. A professionally designed activities programme. Safe access to the garden. Opportunities for residents to go out of the care home. Healthwatch Enfield believe that the management needs to invest in further professional development for the whole staff team, as well as some improvements to the physical environment, in order to ensure that residents can enjoy an excellent quality of life in this care home. There were 15 recommendations in this report which included areas around the themes of personal histories, life story work and reminiscence, activities, access to physical exercise, opportunities for going out, other meaningful occupation, access to spiritual services, advance care planning for End of Life Care and volunteers.

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General details

Report title 
Enter and view: Green Trees Care Home
Local Healthwatch 
Healthwatch Enfield
Date of publication 
Wednesday, 27 August, 2014
Date evidence capture began 
Wednesday, 27 August, 2014
Date evidence capture finished 
Wednesday, 27 August, 2014
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Food and nutrition
Health inequalities
Health promotion
Information providing
Integration of services
Quality of appointment
Quality of regulation
Quality of staffing
Quality of treatment
Staff attitudes
Staff levels
Staff training
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 
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? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
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.