Enter and view: Hadley Lawns Residential and Care Home

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Summary of report content

Healthwatch Barnet conducted an announced Enter and View visit to Hadley Lawns, a 41 bed BUPA residential home, on 21 May 2014 as part of a planned programme of work. Hadley Lawns is a converted and refurbished former private house with well kept gardens. The Home caters for residents who have had strokes, people with Parkinson’s, people with stoma bags and /or using PEGS and people with palliative care needs. People with a dementia diagnosis are not accepted but if this develops while they are resident, this is catered for. Hadley is used regularly for respite care, often by the same people for many years. Residents and relatives spoken to by the Enter and View Authorised Representatives expressed general satisfaction with their care but felt that it was important to visit regularly to keep abreast of changes and to ensure the best care was being given at all times. BUPA is currently restructuring in line with the economic climate and, the report states, this needs to be managed effectively, as it has affected staff morale in spite of an enthusiastic and caring new Manager. Some of the staff spoken to by the visiting team suggested that services were focussed predominantly towards the residents on the residents on the lower floor (residential care) and that more could be done to improve the quality of life for residents with nursing needs on the top floor. One relative commented that the food had been poor but has recently improved. Families will often help their relatives at meal times and some non care staff may support residents eating downstairs. Authorised Representatives observed food being left uncovered and a resident who appeared to be asleep having food left in front of her without a member of staff rousing them , even when alerted to this by one of the visiting team. The report acknowledges that Hadley Lawns is part of the much larger BUPA organisation and as such may not be in a position to implement all the changes that are needed in a timely manner. The Healthwatch Barnet visitors felt that the current Manager comes across as able, enthusiastic, interested in promoting change, and cares for the residents and is well aware that, unless the local community rates the Home, Resident numbers will not rise. The report makes a number of recommendations, including some aimed at the overarching BUPA organisation, the Home Manager has responded very positively to the recommendations that she is able to implement, and advises what actions have been, or are going to be, taken.

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General details

Report title 
Enter and view: Hadley Lawns Residential and Care Home
Local Healthwatch 
Healthwatch Barnet
Date of publication 
Monday, 26 May, 2014
Date evidence capture began 
Monday, 26 May, 2014
Date evidence capture finished 
Monday, 26 May, 2014
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Consent to care and treatment
Continuity of care
Food and nutrition
Health and safety
Health inequalities
Health promotion
Health protection
Holistic support
Information providing
Lifestyle and wellbeing
Quality of care
Quality of staffing
Service delivery organisation and staffing
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 
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 
Residential care home

Details about conditions and diseases

Conditions or diseases 
Digestive tract conditions
Neurological conditions
Types of disabilities 
Long term condition
Types of long term conditions 
Another long-term condition
What type of pregnancy or maternity themes are included in the report 

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 
Care / support workers
Service manager
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
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.