Enter and view : Heathside Residential Care Home, Leigh

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Summary of report content

Healthwatch Wigan conducted and unannounced Enter and View visit to Heathside Residential Care Home on 8th December 2015. The home provides long term care for residents with advanced dementia. The visit was followed by at least two visits by the CQC in the past few months and prompted by a request from the Wigan Council Quality Assurance Team, to assess the services provided to residents around lunchtime. Anecdotal evidence suggested that there was little, if any, choice in the menu and that the standard of food was not good. To obtain an accurate reflection of what was happening it was agreed by Enter and View Panel members that the visit should be unannounced. The report describes the general décor as bland and not very stimulating, with not much activities going on; however the environment was bright and spacious. Although the Kitchen had a high hygiene rating displayed, the delivery, service and selections of food was very unimpressive. The departure of the cook would appear to have had a detrimental effect on the quality and variety of food provided. The HW team had concerns about the lack of a healthy balanced diet and the provision of fruit and vegetables at every meal. They felt the residents were not supported adequately to ensure that their nutritional needs were met during lunch nor that the food and fluid intakes were monitored and recorded particularly the negative high risks of inadequate food and fluid intake. The team found the staff were friendly, open, committed and clearly fond of both their work and the wellbeing of the resident family. The home was in a good state of repair with an active improvement programme. However, despite these positives they found serious shortfalls in standard good practice. Healthwatch made a few recommendations which are detailed in the report along with recommending a further visit in the future to see if the recommendations have been acted upon. Wigan Council Quality Assurance Team responded thanking HW for their recommendations and iterated that management of Heathside have a plan for service improvement that they are currently working to address to which they will add these recommendations. The response from the provider came in the form of an action plan and is detailed in the report.

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General details

Report title 
Enter and view : Heathside Residential Care Home, Leigh
Local Healthwatch 
Healthwatch Wigan
Date of publication 
Thursday, 29 January, 2015
Date evidence capture began 
Tuesday, 8 December, 2015
Date evidence capture finished 
Tuesday, 8 December, 2015
Type of report 
Enter and view
Key themes 
Access
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Continuity of care
Decor
Food and nutrition
Health and safety
Health inequalities
Medication
Quality of care
Staff training
Support
Healthwatch reference number 
Rep-5157

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Local Council
Primary research method used 
Observation
Unstructured Interview
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Unannounced

Details of health and care services included in the report

Social care services 
Residential care home

Details about conditions and diseases

Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
8
Age group 
All
Gender 
All
Ethnicity 
All
Does the information include public's views? 
No
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 
Administrative
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? 
Implied Impact
Tangible Impact (cost related)
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.