Enter and view: Orchid Lawns Care Home

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Summary of report content

Healthwatch Central Bedfordshire conducted an announced Enter and View visit to Orchid Lawns care home in April 2019. The care home provides care for up to 24 residents with varying forms of dementia and physical impairments. The Enter and View representatives used observational activity and spoke to residents, visitors and staff.

The report found that the home was clean and tidy but no windows were open to let fresh air in. There were noticeboards with pictures from the past and memory boxes next to every resident's room. An activities plan was evident but there was little observation of activities taking place during the visit. The Chef explained the change to the day’s menu to representatives and took the time to serve residents with care and dignity and assisted them when needed. All staff were friendly and helpful, and generally interacted with residents who they clearly knew well, using their first names, however a minority of staff openly ignored residents. It was observed that a new member of staff was left alone with 16 residents and other members of staff did not assist the new care worker or residents appropriately. For example, asking the new member of staff to assist a resident when she had not been trained in manual handling. The majority of relatives were very pleased with the care provided and had not had any recent complaints.

A number of recommendations were made and included that food menus are presented in pictorial formats; that the activities plan is in place and adhered to; and that those residents without family members should be considered for advocacy services to be used when decisions are made.

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General details

Report title 
Enter and view: Orchid Lawns Care Home
Local Healthwatch 
Healthwatch Central Bedfordshire
Date of publication 
Wednesday, 12 June, 2019
Date evidence capture began 
Wednesday, 10 April, 2019
Date evidence capture finished 
Wednesday, 10 April, 2019
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Food and nutrition
Information providing
Lifestyle and wellbeing
Quality of care
Staff attitudes
Staff levels
Staff training
Other information of note about this report 
Meaningful Activities
Activity Coordinator
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
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 of people who shared their views

Number of people who shared their views 
Age group 
Specific ethnicity if known 
Sexual orientation 
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
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 action has been taken or promised
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.