Enter and view: Meadowbrook Care Home

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Summary of report content

Healthwatch Shropshire conducted an Enter and View visit. This is a way of ensuring that all services delivered are acceptable and the welfare of the resident, patient or other service-user is not compromised in any way. Healthwatch Shropshire visited Meadowbrook Care Home, on 12/10/2018. The summary of findings highlighted areas in relation to patient feedback, staff feedback and observation. These findings include the home is in a light, bright, spacious purpose-built building. There are easily accessible gardens and plans to improve and develop these spaces, including introducing animals and a covered walkway. Both the building and the gardens, though safe, need some maintenance. The home is in the process of recruiting a new gardener. A new door entry system had been installed because the old entry system was so well known locally it was no longer secure. However, at the time of our visit this was making access for visitors difficult, e.g. waiting for a member of staff to come and open the door. bedrooms are personalised and many are full of personal possessions and appear very homely. Bedrooms are clearly identified with names and photographs. The communal lounges and dining rooms are not very homely or welcoming due to their size and layout. There is not a continual staff presence in the lounges. There is a Bistro (café) area so residents and visitors can make their own drinks. This was not well stocked at the time of our visit. Staff supervision of communal spaces is not clearly defined. We saw care staff helping residents to eat and drink at lunch time. They did this sensitively and chatted with the residents. There was good informal social interaction during lunch on the Agnes Hunt unit. This was not obvious during lunch on the Mary Powell unit. Resident can choose where and what they eat. Preferences are recorded in their care plans and any requirements, e.g. soft food. Menus offer choice, including hot options. Visitors can stay at meal times to support residents to eat or eat with them. Food is provided by an outside caterer. There are mixed messages about the variety and quality of food on offer. Improvements have been noticed but the general view is that more needs to be done. Relatives raised issues around the quantity, presentation and edibility of the pureed food. Residents and visitors can bring in food and alcohol if it is safe medically. There are particular issues with pureed food and the use of hotplates to keep food warm. There are staff vacancies, including a unit Manager, cook, administrator, gardener and third activities coordinator. Rotation of staff between units has recently been introduced which has raised concerns among some residents, relatives and staff. There is Wi-Fi and internet access in the home. There are plans to create a study area for residents in partnership with Derwen College. A singer visits the home twice a week. A hair dresser is in the home on Thursdays. Four residents had gone on a boat trip on the day we visited. There were no organised activities within the home. The recommendations within the report reflect the findings, and are in relation to themes of policy, staff feedback, food and drinks and activities.

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General details

Report title 
Enter and view: Meadowbrook Care Home
Local Healthwatch 
Healthwatch Shropshire
Date of publication 
Monday, 26 November, 2018
Date evidence capture began 
Wednesday, 12 September, 2018
Date evidence capture finished 
Wednesday, 12 September, 2018
Type of report 
Enter and view
Key themes 
Administration
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Continuity of care
Engagement
Food and nutrition
Health promotion
Information providing
Public involvement
Quality of care
Quality of catering
Quality of regulation
Quality of staffing
Quality of treatment
Service closure
Staff attitudes
Staff levels
Healthwatch reference number 
Rep-7259

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
Structured interview
Survey
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced/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 
15
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 
All care professionals
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.