Enter and view: The Old Rectory Residential Care Home

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Summary of report content

Healthwatch Wigan conducted an unannounced visit to The Old Rectory Residential Care Home, a privately owned 10 bed residential care home, on 12 January 2015. The visit was partly prompted by a discussion with the Wigan Council Quality Assurance Team, to assess the services provided to residents around mealtime at the home. While the purpose of the visit was to explore the mealtime experience for residents, the mealtime advertised was not correct so the team arrived at 5pm to find that the meal was already finished. Residents reported being happy with the variety of meal options available but the visiting team felt that 4:30pm was too early for an evening meal. The findings of the Authorised representatives was that relationships between management, staff and residents seemed to be very healthy and there was a good atmosphere in the home. They reported that the office space and main entrance gave an impression of a somewhat chaotic environment which is not conducive to a well organised home and that the rooms themselves looked rather dated. The provision of a single TV suggests that residents could not watch alternative programmes either with others or privately. Given the relative sizes of the lounge and the dining room and the apparent lack of use of the dining room we wondered if the two rooms should be swapped around and a TV provided in both. The recommendations made in the report were: The 2015 refurbishment programme should include the kitchen; fresh fruit should be available at every mealtime and throughout the day as part of a balanced diet; a cooked option should be included in the breakfast menu as well as a wider range of drinks; the timing of the evening meal should be reviewed with a view to putting it back by at least 30 minutes; All 'clutter' that might create a risk should be cleared; the sloping floors should be assessed in relation to safe use of hoists and other safety issues; and that an activity area should be created. The Local Authority Provider Management Team who carry out contract monitoring duties have provided a thorough response expressing their thanks for the report and outline how they will be encouraging the provider to action the recommendations, and have offered alternative suggestions where the recommendations may be problematic to implement. The provider has responded to each of the recommendations, however, have offered justification for the current practice and give no indication that they will action any of the recommendations made within the report.

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General details

Report title 
Enter and view: The Old Rectory Residential Care Home
Local Healthwatch 
Healthwatch Wigan
Date of publication 
Monday, 23 February, 2015
Date evidence capture began 
Monday, 12 January, 2015
Date evidence capture finished 
Monday, 12 January, 2015
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Consent to care and treatment
Food and nutrition
Health and safety
Holistic support
Lifestyle and wellbeing
Quality of care
Service delivery organisation and staffing
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? 

Details of health and care services included in the report

Social care services 
Residential care home

Details about conditions and diseases

Types of disabilities 
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 
Not known
Mixed / multiple ethnic groups
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? 
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.