Enter and view: Holmers House, Buckinghamshire

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Summary of report content

This is an Enter and View report from Healthwatch Buckinghamshire (HWB). Four authorised representatives made a visit to the home on the 28th August 2015. The team have summarised their findings for this report through the following themes: How people are treated; personal choice; 'just like being at home; privacy and quality of life. This was an unscheduled Enter and View visit in that the care home were given up to 2 weeks’ notice of the intention to visit but not the time and date. Authorised representatives noted what they observed and were told. Holmers House provides residential care, in 3 units, for those over 65 who are living with dementia. There were no relatives present when the HWB team visited, and they talked to the manager, deputy manager, 6 members of staff and observed and/or talked to 20 of the 46 residents. The team's summary of findings was as follows: Some examples of good dignity in care but also some where more thought could be given to person-centred care by certain individuals. The HWB team made the following recommendations - ensure all staff take time to talk directly to all individuals at eye level - encourage all staff to interact more on a one to one basis with residents - ensure all staff have an opportunity to attend dignity in care and person centred training - repair (eg a damaged garden chair) or replace (a missing ceiling tile exposing wiring) items as soon as possible. - plant up the empty hanging baskets and look at adding more seasonal colour in the garden. Perhaps the residents could get involved in this activity. -move soiled linen bins further away from the dining areas Service Provider Response We thank the team for visiting our home and meeting with our staff and residents. We have taken on board their comments and have already shared the draft report with our Person Centred Planning Trainer, who is scheduling some bespoke training for the staff working in this home to address some of the issues raised. We would have liked more information regarding how the star ratings have been arrived at as the balance between positive observations and areas for improvement are different throughout the report but the rating of three stars is the same throughout the report. Some of the areas raised were already being addressed prior to the visit. For example we had already started working with a local employer whose staff will be helping us improve our outdoor space. We found some of the references in the report confusing and did request further clarification and examples to help us develop our action plan, but we were not provided with this information, which was disappointing. We would like to thank you for your report.

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General details

Report title 
Enter and view: Holmers House, Buckinghamshire
Local Healthwatch 
Healthwatch Buckinghamshire
Date of publication 
Tuesday, 25 August, 2015
Date evidence capture began 
Tuesday, 25 August, 2015
Date evidence capture finished 
Tuesday, 25 August, 2015
Type of report 
Enter and view
Key themes 
Building and facilities
Decor
Food and nutrition
Health and safety
Quality of care
Quality of staffing
Staff attitudes
Support
Other information of note about this report 
Careplan
Healthwatch reference number 
Rep-5372

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Unstructured Interview
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced/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
Another long-term condition

Details of people who shared their views

Number of people who shared their views 
8
Age group 
All
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
Sexual orientation 
Not known
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 
Care / support workers
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Neutral

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

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.