Enter and view: The Hamlet Care Home

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Summary of report content

Healthwatch Salford carried out an Enter and View visit to the Hamlet Care Home, a residential care home with places for up to 9 residents.

 

The home was evaluated against eight quality indicators: strong, visible management; staff with the time and skills to do their jobs; good knowledge of each individual resident and how their needs may be changing; a varied programme of activities; quality, choice and flexibility around food and mealtimes; ensuring residents can regularly see health professionals such as GPs, dentists, opticians or chiropodists; accommodating residents’ personal, cultural and lifestyle needs; and being an open environment where feedback is actively sought and used. 

 

findings

 

Authorised representatives conducted interviews with three members of staff at the care home, including the Deputy Manager. Topics such as quality of care, safety, dignity, respecting and acknowledging the resident’s and families’ wishes and staff training were explored. Authorised representatives also approached two residents at the care home to ask them about their experiences of the home and, where appropriate, other topics such as accessing health care services. One family member was also spoken to as they were with a resident at the time.

 

A proportion of the visit was also observational, involving the authorised representatives walking around the public/communal areas and observing the surroundings to gain an understanding of how the home works and how the residents engaged with staff members and the facilities. There was an observation checklist prepared for this purpose. Due to the accessible information needs and disabilities of many of the residentials an Easy Read version of the resident’s survey was created, and Talking Mats were also used to communicate with residents as appropriate.

 

Residents expressed a sense of being comfortable and happy in the home, were able and supported to have choices in food, activities and their care. They enjoyed one-to-ones with both staff and other residents. Staff expressed a high level of pride in their work and said that they were supported well by management with regular supervisions and training to carry out their role and care for residents.

 

It was clear from speaking to residents and staff that many activities were available and offered and residents could join in with activities at the day centre and staff respected residents right to refuse but there was some concern from a family member about one resident’s weight gain and how staff might better support their family member to get active again. This, in part, could be put down to lifestyle choice and staff respecting the resident’s right to autonomy and choice.

 

Other needs were catered for and accommodated, with staff supporting residents to access health care services and making changes to the menu to suit one resident’s requirement for Halal food.

 

Recommendations

 

  • the home should provide more support to residents who require more prompting to be active and maintain a healthy weight.
  • The home should get support for activities through existing initiatives through places like Salford Leisure or Salford CVS.
  • The home should work with other charities for disabled people in the Salford area to encourage residents to participate in appropriate community-based activities and exercise.
  • The home should make more use of photos and images within the home and other accessible methods such as printing on pastel coloured paper
  • The home should provide a photo board of all staff, including their names, showing clearly who the managers are.

The care provider responded positively to the report.

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General details

Report title 
Enter and view: The Hamlet Care Home
Local Healthwatch 
Healthwatch Salford
Date of publication 
Thursday, 5 December, 2019
Date evidence capture began 
Tuesday, 13 February, 2018
Date evidence capture finished 
Tuesday, 13 February, 2018
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Decor
Food and nutrition
Health and safety
Holistic support
Lifestyle and wellbeing
Quality of care
Quality of staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 
Rep-5049

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
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? 
Announced

Details of health and care services included in the report

Social care services 
Nursing care home

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? 
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? 
Positive

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? 
Not known
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.