Enter and view: Nightingale Hammerson Care Home

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Summary of report content

Healthwatch Barnet conducted an announced Enter and View visit to Nightingale Hammerson House, Hammerson House is a multi-functional Care Home for Jewish Residents wishing to spend the later part of their lives in settings commensurate with the level of care they need. Nightingale Hammerson has 12 sheltered accommodation units and also provides Residential and Nursing care The Healthwatch Barnet Enter and View Authorised Representatives did not visit the sheltered accommodation on this visit but focused on residential and nursing care. The number of sheltered units is going to be gradually reduced during extensive renovation taking place over the next few years. . In their place a brand new dementia is being built to reflect the changing needs of London’s elderly population. At present, tenants of the sheltered accommodation are able to share in the Home’s facilities (e.g. taking meals if they do not wish to cook their own, or joining the activities offered to residents. Tenants spoken to were anxious about how the changes would affect them. The 63 resident s , whether residential or nursing, have their own room with ensuite facilities . There is also a communal dining area for meals with table service, a full activities programme running over the whole week and a garden. There are synagogue services at appropriate times for a Reform congregation. A small shop just off reception, opens mainly in the morning with a selection of items available for sale. The report concludes that Nightingale Hammerson is a Care Home with a vision for the future, good training opportunities, some dedicated long term staff and currently an enviable activities programme . However it was observed that the merger of Nightingale with Hammerson, and the changes this is bringing is causing difficulties to arise in sharing the future vision with some of the workforce, tenants, residents and relatives . Management is not adequately allaying people’s often understandable fears and the Authorised Representatives felt that this may impact on the quality of care and on the atmosphere in the Home . The report suggests that managers need to reconsider the effectiveness of their communications with everyone one working in, or using the Home, regarding the changes whilst continuing to ask for people’s feedback and involvement. It was noted that several people did not want to talk to Healthwatch Barnet, nor be seen in their presence, and it was recommended that the Home engages with everyone so that they are genuinely reassured that the Home welcomes feedback and that care would not be affected because this was given. The provider has made a defensive response that does not show reflection or willingness to change their approach to the issues raised.

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General details

Report title 
Enter and view: Nightingale Hammerson Care Home
Local Healthwatch 
Healthwatch Barnet
Date of publication 
Tuesday, 22 October, 2013
Date evidence capture began 
Tuesday, 22 October, 2013
Date evidence capture finished 
Tuesday, 22 October, 2013
Type of report 
Enter and view
Key themes 
Access
Administration
Admission
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Consent to care and treatment
Continuity of care
Cost of services
Engagement
Food and nutrition
Health and safety
Health promotion
Holistic support
Information providing
Lifestyle and wellbeing
Medication
Public involvement
Quality of care
Quality of staffing
Service closure
Service delivery organisation and staffing
Staff attitudes
Staff levels
Support
Healthwatch reference number 
Rep-5025

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
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Social care services 
Extra care housing services
Nursing care home
Residential care home

Details about conditions and diseases

What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
23
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Not known
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 
Administrative
Care / support workers
Service manager
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 but provider disagrees
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

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.