Enter and view: Greenacres Care Home, Central Bedfordshire

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Summary of report content

Healthwatch Central Bedfordshire conducted an announced Enter and View visit on 5th March 2015 to Greenacres Care Home. The home, which is owned by Quantum Care, has 42 single rooms. The home includes a day-centre and a re-enablement unit of eight beds. There are two respite beds, the remainder being for the frail older people and dementia residents. The age range of residents was previously 65+ however this was recently reduced to 55+ for the reablement unit. Residents, family members and members of staff were spoken to. The findings show that at the time of the visit, the home was operating to a good standard of care with regard to dignity and respect with staff interacting with residents positively and regularly, including checking on them if they appeared to be soporific. Residents looked tidy, clean and well cared for and those who spoke to representatives said they were comfortable at the home and quite happy. This was echoed by family members who spoke highly of the care. Staff appeared to be well trained and representatives were confident the residents were well cared for. Representatives noted that there is an ongoing programme of redecoration and refurbishment of the home and a recommendation was made for this to continue. It was noted that the two pedestal-type ashtrays in the residents’ garden smoking area were full to overflowing hence a recommendation that these are emptied more frequently. Residents felt the standard and variety of food served was very good and representatives felt the menu was balanced and nutritious and mealtimes were considered suitable. A recommendation was made that the menus be available in pictorial format for the benefit of residents with dementia. Residents are given the option of taking part in organised activities along with their relatives who were impressed with the range activities available. Under the previous management there had been a high turnover of staff, resulting in the use of agency staff. However, the manager has ensured that only one agency is used and consistent staff from the agency are sent to preserve continuity of care. Representatives were advised that the embargo on recruitment has now been lifted and more permanent staff will be employed. It was also recommended that the report be shared with residents and their relatives to allow them the opportunity to comment further should they wish to do so. The service provider responded positively to the report and its recommendations taking on board all suggestions for improvement. The report gives examples of innovations and initiatives, such as the siting of a suggestions box in the foyer. The manager stated they were happy for the report to be published with no provider responses.

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General details

Report title 
Enter and view: Greenacres Care Home, Central Bedfordshire
Local Healthwatch 
Healthwatch Central Bedfordshire
Date of publication 
Thursday, 5 March, 2015
Date evidence capture began 
Thursday, 5 March, 2015
Date evidence capture finished 
Thursday, 5 March, 2015
Type of report 
Enter and view
Key themes 
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Decor
Food and nutrition
Medication
Staff attitudes
Staff levels
Staff training
Other information of note about this report 
Activities
Healthwatch reference number 
Rep-5214

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 disabilities 
Mobility
Long term condition
Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
6
Age group 
All
Gender 
All
Ethnicity 
All
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 
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? 
No
What type of impact was determined? 
Tangible impact (not 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.