Enter and view: Stadium Court Wedgwood Unit, Stadium Court

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Summary of report content

Healthwatch Stoke on Trent conducted an Enter and View on Wedgwood Unit, Stadium Court Residential & Nursing Home, a publicly run care home with 33 places on the 23rd of August 2017 at 10:30am. This visit was arranged as Healthwatch had received evidence of worrying considerations including, verbal evidence from members of the public and professionals regarding various issues, and the CQC report had showed services to be either inadequate or requiring improvement. Observations by the Enter and View representatives reported that: The corridors and decorations were quite plain and decoration looked tired in some areas, the building was light and airy, all public areas were furnished and tidy, all furniture was in good condition, grounds were easily accessible and were generally well kept, a tuck shop was located next to the shed, the unit provides a pleasant environment and is clean but parts of the building are now in need of decoration, the team believes much more focus needs to be put into physical stimulation as this is a rehabilitation unit, food provision and choice seems to be good but a kitchen unit to allow residents to reacquaint themselves with retrograde step in rehabilitation, staff seem keen and dedicated to resolve issues, the fire exit was in clear and available, the visitors book was in use, hand sanitiser was in use on entry of the unit, display information was printed too small and needs to be more accessible to residents, the lounge was reasonably sized and well decorated, there was a menu with options along with a night bites menu, only two staff members were available to allow staff to move residents after they had finished breakfast, a gazebo was stored in the lounge which was a potential trip hazard, the team were allowed access to one residents room which was clean and tidy, in two of the corridors trolleys were observed blocking access to a disabled toilet, a residents door handle was broken at the top and unscrewed causing the risk of an accident, a key had been left in a cupboard door, a resident was being taken to the toilet by one staff member but another commented that they needed a walking frame putting doubt into staff understanding of patient needs, there is no full time activities manager, only one activity took place during visit a game of higher and lower with a deck of cards, the team expressed concern that there was not much activity to keep residents stimulated. The Deputy Unit Manager was asked if any of the activities were centred around preparing people to go home and if they included things like food preparation or access to a physiotherapist. The answers included the unit has a physio, an occupational therapist, and two technicians that are there everyday, staff encourage residents to walk to the lounge. When queried about the lack of activities the manager said they may have been disrupted due to a hairdresser being on site. Residents commented that: They were very well looked after, one resident could not respond as her hearing aid needed a new battery, resident commented she had been waiting for it to be done all morning, I have been here for 6 weeks and I am very happy my care could not have been better. The Manager responded to the report explaining that decoration is ongoing throughout the unit and he would take on the teams comments on brighter colours helping the rehabilitation of residents. Healthwatch recommendations were: While the Unit is undergoing re-decoration, we strongly urge those in charge to consider providing better visual stimulation rather than ‘shades of beige’. It is generally accepted that residents in rehabilitation units respond better with visual stimulation, similarly, we appreciate that the residents are intended to be there for a short period of time (4 – 8 weeks) but a wider range of activities would again aid recovery, the removal of the ‘training kitchen is, we believe, a retrograde step and we would ask for this to be reinstated.

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General details

Report title 
Enter and view: Stadium Court Wedgwood Unit, Stadium Court
Local Healthwatch 
Healthwatch Stoke-on-Trent
Date of publication 
Wednesday, 13 September, 2017
Date evidence capture began 
Wednesday, 23 August, 2017
Date evidence capture finished 
Wednesday, 23 August, 2017
Type of report 
Enter and view
Key themes 
Access
Administration
Communication between staff and patients
Decor
Engagement
Information providing
Quality of care
Quality of staffing
Staff levels
Staff training
Other information of note about this report 
Meaningful Activities
Activity Coordinator
Healthwatch reference number 
Rep-1562

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

Details of health and care services included in the report

Secondary care services 
Physiotherapy
Social care services 
Nursing care home

Details about conditions and diseases

Types of long term conditions 
Not known
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 
4
Age group 
Not known
Gender 
All
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Service manager
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Positive

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Not known
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Yes
What type of impact was determined? 
Tangible Impact (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.