Enter and view summary report: care and extra care housing

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Summary of report content

This report is a summary of all the Enter and View visits to extra care housing undertaken by Healthwatch Salford during the period June to December 2018.

All visits were announced Enter and View visit to the six schemes. The Enter and View visit dates were arranged around when most staff would be available and around tenant meetings and activities. Due to the nature of Extra Care Housing, both the care provider and the housing provider were involved in the Enter and View visit, with staff from both the care and housing provider being surveyed. In total 115 people were surveyed.

Findings

Social contact, how well tenants got on with and were supported by staff, communication and responsiveness and the activities provided were often indicators of levels of content / discontent, happiness / unhappiness and of tenants thinking that living in an extra care scheme was of benefit to them and their health and if they felt enabled to stay on at the scheme as their care needs changed. This was consistent no matter if it was a new purpose-built scheme or converted older scheme.

The extra care model lends itself to flexibility in housing different types of people together and in doing so increasing the diversity of those living at the schemes. However, there is still going to be tensions between independent living and a home for life. Adding another factor such as intergenerational housing might impact on this but there are also many potential benefits. It will be interesting to see if future models of Extra Care evolve to include a wider diversity of people being housed and how this new model might be commissioned.

 Commissioners should in their contract specification and management be covering areas such as activities and social inclusion more clearly, going beyond just compliance and care, to set standards and manage these crucial but often less prioritised areas of Extra Care housing. The Extra Care housing in Salford enables many to retain some independence, while providing communal and social spaces.

There is a lot of will to succeed and experience across the six schemes and with more community involvement, resources and good practices that retain staff these schemes will be in a better place to develop on their strengths and improve on this model. It is hoped that commissioners will support providers in this and take on the feedback gained from this Enter and View programme and points made in this summary report.

Recommendations

Across the Enter and View visits to the six schemes there were 46 recommendations made, with corresponding responses from the providers.

 

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General details

Report title 
Enter and view summary report: care and extra care housing
Local Healthwatch 
Healthwatch Salford
Date of publication 
Thursday, 5 December, 2019
Date evidence capture began 
Friday, 1 June, 2018
Date evidence capture finished 
Monday, 31 December, 2018
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Complaints procedure
Decor
Food and nutrition
Health and safety
Holistic support
Lifestyle and wellbeing
Quality of care
Quality of catering
Quality of staffing
Service delivery organisation and staffing
Staff levels
Healthwatch reference number 
Rep-5059

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
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

Details about conditions and diseases

Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
115
Age group 
Not known
Gender 
Not known
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? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Care / support workers
Service manager
Does the information include other people's views? 
Yes
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 action has been taken or promised
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 (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.