Enter and view: Hillesdon House Rest Home

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Summary of report content

Healthwatch Staffordshire conducted an unannounced Enter and View visit to Hillesdon House Rest Home on 4 March 2014, after two CQC reports had raised concerns. The CQC concerns were the environment, safety, and suitability of the premises; cleanliness linked to infection control; staffing numbers, training and support; and the management of the service was also a concern. The Enter and View Representatives noted some good caring practice being carried out, some internal decoration had been completed approved and more work was being undertaken. The visiting team thought that the entrance could be more inviting with some window frames and sills needing attention. Authorised Representatives felt that the garden area could be made more attractive but noted that the owners were aware of this and it part of their long term planning. There were no call bells as the manager advised that most of the residents would not know how to use them, but there were pressure mats connected to an alarm system so that the staff would know when the residents had got out of bed. There was also an alarm system that indicated when anyone approached the stairs, although this sounded so frequently that there was a fear that it could be ignored or that carer’s could begin to stop noticing it. The visiting team noted that there was no personalisation on the bedroom doors, only the room number. The Authorised Representatives suggested adding photos/ memorabilia and the name that the resident liked to be called. The bathroom downstairs had been newly decorated but it was noted that noted that it would benefit from a blind or a curtain across the window to ensure privacy. The Authorised Representatives also noted that one of the bedrooms was being used as a training area with DVD’s for two team members. Although the resident was not in this room at the time it still seems inappropriate to use the room for this purpose. The report makes recommendations including: providing a blind or curtain to the downstairs bathroom to ensure privacy; replacing a makeshift metal fence with a more permanent structure; the installation of a washbasin in one of the bedrooms, as identified by the CQC; personalising each resident’s bedroom door to help with recognition; and complete the redecoration of the upstairs bathroom. No response from the provider is included with this report.

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General details

Report title 
Enter and view: Hillesdon House Rest Home
Local Healthwatch 
Healthwatch Staffordshire
Date of publication 
Tuesday, 4 March, 2014
Date evidence capture began 
Tuesday, 4 March, 2014
Date evidence capture finished 
Tuesday, 4 March, 2014
Type of report 
Enter and view
Key themes 
Access
Administration
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Continuity of care
Engagement
Food and nutrition
Health and safety
Health promotion
Health protection
Holistic support
Information providing
Lifestyle and wellbeing
Medication
Quality of care
Quality of staffing
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Healthwatch reference number 
Rep-5077

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Other (please specify)
If this work has been done in partnership, who is the partner? 
The visit was requested after CQC concerns were raised but it is unclear if it was the CQC who requested the Healthwatch visit.
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? 
Unannounced

Details of health and care services included in the report

Social care services 
Residential care home

Details about conditions and diseases

Types of disabilities 
Not known
Types of long term conditions 
Not known
What type of pregnancy or maternity themes are included in the report 
N/A

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? 
No
Does the information include carer's, friend's or relative's views? 
No
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? 
Positive

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

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.