Enter and View: Howlish Hall Nursing Home

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Summary of report content

Healthwatch County Durham undertook an Enter and View visit to Howlish Hall Nursing Home on 25 February 2020. This was part of a programme of positive enter and view activity of local care homes.  Howlish Hall approached Healthwatch County Durham to be part of this programme. They spoke to 12 individual residents, carers, family members and staff, using a set of appreciative questions to prompt people to describe good practice they had experienced or seen.

Residents felt that the home was homely and comfortable.  There were good interactions and relationships between staff and residents.  Staff felt that the home was very enjoyable to work in.  People appreciated the activities on offer, but there were requests for  more.  Residents had a choice of menu at mealtimes.

There were 4 recommendations about keeping up the positive atmosphere and level of service in the home, responding to suggestions for more activities, and introducing some dementia friendly touches to the décor.

The report contains a response from the service provider setting out the actions they have taken in response to the recommendations.

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General details

Report title 
Enter and View: Howlish Hall Nursing Home
Local Healthwatch 
Healthwatch County Durham
Date of publication 
Wednesday, 18 March, 2020
Date evidence capture began 
Tuesday, 25 February, 2020
Date evidence capture finished 
Thursday, 2 April, 2020
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Food and nutrition
Holistic support
Lifestyle and wellbeing
Quality of care
Quality of catering
Quality of staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Service Provider
Primary research method used 
Engagement event
How was the information collected? 
If an Enter and View methodology was applied, was the visit announced or unannounced? 

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 
Age group 
Not known
Not known
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
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.