Enter and view: Morningside Rest Home

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Summary of report content

Healthwatch Cheshire West conducted an Enter and View visit to Morningside Rest Home on 28 March 2014. Morningside was originally a large family home which has been extended and added to over the years and is now able to accommodate 31 residents, although the report notes that the layout resembles a rabbit warren due to the numerous extensions. The manager informed the visiting team that they had been in post for around six months and were currently working with Cheshire West and Chester Council to address many contact compliance issues. The Authorised Representatives saw evidence of managerial changes to practice and were told of the work in progress, these included all staff having Disclosure Barring Service (DBS) checks, references are received before taking up employment, introduction of infection colour-coding, introduced nutritional assessments, weight monitoring and care plan reviews. The manager also advised that she carries out annual appraisal and personal development planning for staff. Medicines are kept in a locked room and controlled drugs are kept in this room in a locked cabinet. It was noted by Authorised Representatives that this room is also used as the hairdressing salon. There was evidence of a variety of interesting and meaningful activities and the Home planes to employ a second activities coordinator in order to provide a seven day a week programme. However one resident spoken to became distressed when telling the Healthwatch Cheshire West team that she can no longer afford the wheelchair transport she requires to go out and had, as a result, become homebound. Residents stated they would like more input regarding their meals but expressed concern that it may increase their fees. There were a number of recommendations made in the report, including the need to ensure all staff are aware of fire evacuation procedures, and a suggestion that care needs to be taken with presentation or meals - in particular the use of appropriate plates and tableware. There was no provider response included within the report.

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General details

Report title 
Enter and view: Morningside Rest Home
Local Healthwatch 
Healthwatch Cheshire West and Chester
Date of publication 
Friday, 28 March, 2014
Date evidence capture began 
Friday, 28 March, 2014
Date evidence capture finished 
Friday, 28 March, 2014
Type of report 
Enter and view
Key themes 
Building and facilities
Car parking access
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Consent to care and treatment
Continuity of care
Cost of services
Food and nutrition
Health and safety
Health promotion
Health protection
Holistic support
Lifestyle and wellbeing
Quality of care
Quality of staffing
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
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 
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Not Known

Details of health and care services included in the report

Social care services 
Adult social care
Residential care home

Details about conditions and diseases

Types of disabilities 
Not known
Types of long term conditions 
Not known
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
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? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 

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.