Enter and view: Heathgrove Lodge

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Summary of report content

Healthwatch Barnet conducted an Enter and View visit on Heathgrove Lodge, a nursing home, on 18th July 2017. The visit was part of Healthwatch Barnet Enter and View schedule. Observations by the Enter and View team reported that the premises were well-maintained, clean and the food was praised by residents; residents were all well-dressed; the system for monitoring and applying for and the renewal of DoLs had delay problems for renewals after the application had been submitted; staff shortage raised a concern, where residents appeared to be waiting for help for some time to assist eating or when getting a resident ready to go somewhere, which results in others not receiving support when needed; residents seemed to not be encouraged to engage in activities but the morning activity advertised on the day did not occur; residents spoke of having residents' meetings but were unsure as to their frequency and outcomes; hourly rates for staff pay was higher than some staff who have been employed at the home for many years, which was causing friction and caused some staff to seek alternative employment. Healthwatch Barnet made the following recommendations: For Healthwatch Barnet: 1) Raise the issue of DoLs renewal being delayed with the relevant council department. For Heathgrove Lodge: 1) Look at the pay structure for all staff to ensure equality in terms of remuneration for each grade of staff. 2) Review staffing levels to ensure that sufficient staff are available at the right times of the day. 3) Level the access from the lounge to the patio and smooth out the drains to remove the trip hazards. 4) To discuss with residents the timing of their daily activities and ensure they understand the options and are happy with the routines that they follow. 5) To review the activity programme to ensure it meets residents needs and offers a varied and stimulating range of activities for all residents. Responses from Barnet Council and the Home manager detailed the action plan to address the recommendations.

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General details

Report title 
Enter and view: Heathgrove Lodge
Local Healthwatch 
Healthwatch Barnet
Date of publication 
Tuesday, 18 July, 2017
Date evidence capture began 
Tuesday, 18 July, 2017
Date evidence capture finished 
Tuesday, 18 July, 2017
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Engagement
Health and safety
Holistic support
Information providing
Quality of care
Quality of staffing
Service delivery organisation and staffing
Staff levels
Other information of note about this report 
Good Practice
Activities
Healthwatch reference number 
Rep-1440

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
Residential care home

Details of people who shared their views

Number of people who shared their views 
5
Age group 
All people 18 and over
Gender 
All
Ethnicity 
Not known
Specific ethnicity if known 
All
Sexual orientation 
NA
Does the information include public's views? 
Not applicable
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
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? 
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.