Enter and view: Mandeville Grange Care Home

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Summary of report content

Healthwatch Buckhingamshire conducted an Enter and View visit to Mandeville Grange care home in January 2019. This visit was part of the Enter and View schedule for the Dignity in Care programme. Mandeville Grange provides nursing care for 26 residents, some of whom live with dementia. They interviewed to 5 residents, 3 visitors and 2 staff and observed another 5 residents and 3 staff. Residents reported that the staff were kind and attentive; there was no choice of main meal at lunchtime but that an alternative would be found; residents felt there was no opportunity to help in the home, for example, decorating biscuits or planting bulbs in the garden; and that activities were not varied, nor was there an opportunity for group activities and outside excursions. Observations included: staff interacted well with residents, and visitors; and there was no dining room table which mean residents often sat in the same chair all day. Recommendations were made by the representatives including: introduce a choice of two main meals at lunch time; put up a weekly menu; make healthy snacks available; consider clearing the “quiet room”, off the main lounge, and installing a dining table for 6-8 with chairs so residents could eat meals at a dining table if they so wished; ensure appropriate risk assessments take place to enable those who want to go out unaccompanied to do so where possible; increases the number, and variety, of trips out for those residents who would like to go out e.g. to the cinema, theatre, shops; increase the number of group activities in the lounge areas to get residents talking to each other and making them less dependent on the activity coordinator for all activities; ask residents what they would like to do but consider introducing card games and board games such as Ludo, baking, and planting seeds, activities, in the ‘quiet room’ and knitting; enable more residents to go out into the community, visit the local school, shops and brings more groups into the home such as Scouts, Girlguides and local school children; and sign up to the Bucks Home Library Service as several of their residents read regularly but don’t leave the home often to purchase books. The service provider responded well to some of the recommendations but disagreed with the comments regarding activities and socialising.

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General details

Report title 
Enter and view: Mandeville Grange Care Home
Local Healthwatch 
Healthwatch Buckinghamshire
Date of publication 
Tuesday, 5 March, 2019
Date evidence capture began 
Thursday, 24 January, 2019
Date evidence capture finished 
Thursday, 24 January, 2019
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Food and nutrition
Lifestyle and wellbeing
Quality of care
Quality of catering
Quality of staffing
Service delivery organisation and staffing
Staff attitudes
Staff levels
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
Structured interview
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 
All people 18 and over
Specific ethnicity if 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 but provider disagrees
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
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.