Enter and view: Lynde House Care Home, Richmond Upon Thames

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Summary of report content

Lynde House is an adult residential and nursing home owned by Barchester Healthcare and at the time of the visit was registered with the Care Quality Commission (CQC) as a nursing home for up to 76 adults requiring nursing or personal care. This was the first visit by Healthwatch Richmond and the home is not scheduled to have visits from the CQC in the near future. The previous CQC report published 24/03/2015, gave the home an overall rating of ‘Good. The rating for ‘Is the service safe?’ was deemed ‘Requires Improvement’ in reference to staffing levels during busy times. The Healthwatch Richmond volunteers spoke to 22 residents, 4 relatives, 13 members of staff in addition to the Manager and a number of visiting professionals. Focus: Residents’ views on life at Lynde House, views of their families and friends, staff views on working at Lynde House, management arrangements, care planning, staffing levels, activities and mealtimes. Background: • Currently 62 residents at the home. 6 new residents were due and 8 rooms were closed for an upgrade (part of a programme for refurbishment) • Residents ranged from 76 to 103 years (average age of 90 years) and average length of stay is 3½ years but some have been there for up to 8 years • 11 residents [18%] had Depravation of Liberty Safeguard (DoLs) orders in place. Approximately 18% of the residents have a dementia diagnosis but physical needs are predominant Observations: A well-run care home with good systems in place to care for the residents and work to a very high standard with a welcoming atmosphere and evidence of good relationships and good communication between management, residents and staff. Recommendations: • Activities Agenda is produced in a larger print and all notices for residents be placed lower down to aid wheelchair users but not too low for ambulant residents • Extend the use of pictorial signage to aid people with dementia moving around the home • Review the availability of suitable activities for people with dementia to participate in • Investigate reduction in noise levels where they can.

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General details

Report title 
Enter and view: Lynde House Care Home, Richmond Upon Thames
Local Healthwatch 
Healthwatch Richmond upon Thames
Date of publication 
Tuesday, 31 January, 2017
Date evidence capture began 
Tuesday, 8 November, 2016
Date evidence capture finished 
Tuesday, 8 November, 2016
Type of report 
Enter and view
Key themes 
Cleanliness hygiene and infection control
Complaints procedure
Food and nutrition
Lifestyle and wellbeing
Quality of care
Quality of catering
Staff attitudes
Staff levels
Other information of note about this report 
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Primary research method used 
User stories
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 about conditions and diseases

Types of long term conditions 
Alzheimer’s disease or dementia
What type of pregnancy or maternity themes are included in the report 

Details of people who shared their views

Number of people who shared their views 
Age group 
All people over the age of 65
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
Care / support workers
Does the information include other people's views? 
Not known
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? 
Is there evidence of impact in the report? 
Not known
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.