Enter and view: Mandeville Grange, Buckinghamshire

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Summary of report content

Healthwatch Bucks conducted an unannounced enter and view visit to Mandeville Grange Care Services on 18 November 2015. The home provides nursing care for residents, some of whom live with dementia. The team engaged with 4 residents and 3 relatives. The team did not speak with staff during the visit. This report is part of Healthwatch Buck’s wider enter and view project about dignity in care. Feedback about the home was varied. The team found that staff spent a lot of time moving residents around and less time interacting more positively with them. The team observed the care staff hoisting residents into lounge chairs and reported that it did not appear dignified as their clothes were not always well adjusted. Privacy was raised as a concern by the team as they were able to see into residents’ rooms while they were still in bed. Relatives were concerned that staff did not encourage independence resulting in worsened mobility for a resident. The team did not observe an activity notice board, although they were informed that the residents had recently attended a boat trip and a visit from pets for therapy to the home which were appreciated by the residents. Menus were not displayed, however, the team observed residents being asked what they would like to eat. One relative told the team that they felt their relative was well cared for. The team observed the staff actions after a resident fall and noted that they cared for the resident with kindness. The report made recommendations to the home including ensuring that the temperature of home is managed, ensuring the residents maintain their independence and mobility as much as possible, and to obtain another hoist as many residents were being moved in this way. The service provider provided a response to the report. The home stated that they would discuss the recommendations.

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General details

Report title 
Enter and view: Mandeville Grange, Buckinghamshire
Local Healthwatch 
Healthwatch Buckinghamshire
Date evidence capture began 
Wednesday, 18 November, 2015
Date evidence capture finished 
Wednesday, 18 November, 2015
Type of report 
Enter and view
Key themes 
Communication between staff and patients
Food and nutrition
Quality of care
Other information of note about this report 
Activities
Healthwatch reference number 
Rep-5499

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Observation
Survey
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

Details about conditions and diseases

Types of disabilities 
Memory
Mobility
Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
7
Age group 
All
Gender 
All
Ethnicity 
All
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? 
No
Does the information include other people's views? 
No
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? 
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
What type of impact was determined? 
Implied Impact

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.