Enter and view: Sonesta Nursing Home Ltd

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Summary of report content

Healthwatch Barnet conducted an announced Enter and View visit to Sonesta Nursing Home, an independently owned 32 bed Nursing Home, as part of a planned programme of work to review the provision of care in the Borough of Barnet. Sonesta Nursing Home provides personal and nursing care, specifically for people coming towards the end of life. Sonesta regularly has residents with Parkinson’s, have had strokes or who have vascular dementia, diabetes and those on a peg feed. The Home is not, however, suitable for people with advanced dementia who require specific support. The visiting Enter and View Authorised Representatives noted that the bedrooms and bathrooms looked clean and comfortable, although the rooms on the top floor appeared cut off as all bedroom doors were shut even when residents were in the rooms. Care plans were reviewed monthly with the visiting team being advised that the care plan was undertaken initially with the resident or a close relative, very often the resident forgot that they had one and rarely if ever asked to see this again. All care staff are Nurses either trained in England or in their country of origin. If staff have come to England from elsewhere, they are counted as a GNVQ Level 4 until they are able study and bring their qualifications into line with British requirements. The manager told the visiting team that they were aware of the Gold Standards Framework for End of Life Care but had not yet decided whether to pursue this. They said that they had invited North London Hospice in to give advice on certain residents but had not undertaken any training courses with them. The report makes ten recommendations including that the Home contact Barnet’s Integrated Quality in Care Homes (IQICH) initiative to increase Borough contacts and share expertise. There was also a recommendation that doors to bedridden residents’ rooms open unless specifically asked by the residents to close them, to avoid a feeling of isolation and also that individual activity sheets be placed in residents’ rooms so that friends, relatives, and staff could see what they had been doing. The Manager responded positively to the recommendations but stated that the doors to bedrooms being closed was a Health and Safety fire regulation requirement. The Manager went on to say the suggestion of the individual activity sheets in residents' rooms has been implemented and contact with Barnet’s Integrated Quality in Care Homes (IQICH) initiative has been made.

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General details

Report title 
Enter and view: Sonesta Nursing Home Ltd
Local Healthwatch 
Healthwatch Barnet
Date of publication 
Saturday, 28 September, 2013
Date evidence capture began 
Saturday, 28 September, 2013
Date evidence capture finished 
Saturday, 28 September, 2013
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Complaints procedure
Consent to care and treatment
Continuity of care
Food and nutrition
Health and safety
Health promotion
Health protection
Holistic support
Lifestyle and wellbeing
Quality of care
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? 

Details of health and care services included in the report

Social care services 
Nursing care home

Details about conditions and diseases

Conditions or diseases 
Diabetes and other endocrinal, nutriotional and metabolic conditions
Neurological conditions
Types of long term conditions 
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
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? 
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
Tangible impact (not cost related)

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.