Enter and view: Leonard Pulham

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Summary of report content

On 30th March 2019, authorised representatives from Healthwatch Bucks undertook an unscheduled Enter and View visit to the Leonard Pulham Home, who were given up to 2 weeks’ notice of the visit but not the time and date. The home provided nursing care for 28 people some of whom live with dementia.

The findings of the report show that not everyone at the Home was satisfied with the level of care given; there was frequent staff change which made it difficult for residents to bond with people. Staff levels were low and not all staff respected residents as individuals. The home offered a good choice of food, but some residents were not satisfied with the quality. The environment was homely, but some residents found it challenging to get a quick response; however, residents were satisfied with the privacy levels. There were numerous activities available all the time, including visits out into the community.

The report recommended to ensure all staff are trained in person-centred care and supported to put it into practice; improve staff attitude and behaviour towards residents; put up pictorial signs to differentiate one corridor from another and a toilet door from a bedroom door.

The providers responded by saying they had booked staff for Person Centred Care course; were improving the signage of the home; were monitoring the call bell system more regularly and adopting a menu to reflect the choice of the residents.  

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General details

Report title 
Enter and view: Leonard Pulham
Local Healthwatch 
Healthwatch Buckinghamshire
Date of publication 
Saturday, 30 March, 2019
Date evidence capture began 
Friday, 31 May, 2019
Date evidence capture finished 
Friday, 31 May, 2019
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Food and nutrition
Health and safety
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? 
If this work has been done in partnership, who is the partner? 
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? 

Details of health and care services included in the report

Social care services 
Residential care home

Details of people who shared their views

Number of people who shared their views 
Age group 
All people 18 and over
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 
Care / support workers
Service manager
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? 
What type of impact was determined? 
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.