Enter and view: I'm still me report

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Summary of report content

Healthwatch Dorset created this report following identifying care homes as a priority area for investigation in their work programme. The purpose was to conduct research to help establish the scope of a potential project around ‘Meaningful Activities’ and what is in place for residents to keep them mentally and physically stimulated to enhance their quality of life and retain their sense of self to enable their enter and view programme to 'Add value'. Healthwatch Dorset randomly selected 8 care homes (spread across all districts of the county) and undertook unannounced visits over a period of 2 months. After the visits, they asked the homes for feedback on our approach and carried out a review with their Enter & View authorised representative volunteers. Following this, they then amended and adapted the methodology, considering all the feedback received. Some key findings of the report include: - Not all homes had a “whole home” approach to who is responsible for activity planning and provision. - Some larger homes had dedicated activity “teams”. - Larger homes had easier access to transport (especially homes which are part of larger groups). - Smaller homes knew their residents better. The report includes 7 recommendations for care homes, including; • All staff need some support and/or training to recognise that the social and emotional needs of residents are just as important as the daily physical aspects of care. Some staff we spoke to had received formal NVQ training for example, some had received limited “on the job” awareness. • True “meaningful activities” should match the personal interests and capabilities of the individual. Even if only one person wishes to undertake a particular activity, homes should be empowering and enabling them to do so wherever possible. • Commissioners need to promote protected time for staff to facilitate meaningful activities for residents, encourage appropriate staff training and development of true individualised activity planning which is regularly reviewed. There should also be regular reviews to identify those residents at risk of social isolation i.e., those that prefer to stay in their own rooms, do not have the opportunity to leave the home for trips etc. or do not wish to be involved in groups activities. The report also includes learnings for future enter and view visits to be carried out by Healthwatch Dorset. It does not contain a response from the service providers.

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General details

Report title 
Enter and view: I'm still me report
Local Healthwatch 
Healthwatch Dorset
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Health and safety
Health promotion
Lifestyle and wellbeing
Staff attitudes
Staff training
Support
Other information of note about this report 
Meaningful Activities
Activity Coordinator
Healthwatch reference number 
Rep-5706

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
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 
Nursing care home
Residential care home

Details of people who shared their views

Number of people who shared their views 
Unknown
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
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
Service manager
Does the information include other people's views? 
Not known
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? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
Not known

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.