Enter and view: Sutton Beeches - Maple and Willow Units

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Summary of report content

Healthwatch Cheshire West conducted two Enter and View visits to the Maple and Willow Units of Sutton Beeches on 11 February and 14 March 2014. Maple and Willow Units are day services presently in a transitional phase, transferring to VIVO Day Care Services, located within Sutton Beeches; a residential short break and rehabilitation centre located in a residential area. The Maple Unit can take up to twenty day care residents and the Willow Unit provides a specialist Day Care facility for twelve people who have dementia or other similar diagnoses. Representatives were informed by staff, that at the moment Vivo Day Care Services are looking for an alternative appropriate building in the geographical area of Ellesmere Port to enable present service users of the Day Care Services to transfer. Enter and View Authorised Representatives found the premises rather uninviting with some of the decoration and furniture in need of attention. When the visiting team arrived, clients were just arriving and were given cups of tea and hot chocolate. The worktop in the area where these drinks were being made was observed to be stained. Clients were sitting in a big circle, some talking, some watching television and some just sitting there. The Authorised Representative observations suggested that there were 20 day care clients and 12 in the Dementia unit. Although there were eight staff, only five were on duty at any time. When asked about staffing levels, the visiting team were told this had been looked at and there was no legal requirement to have a certain number of staff per group. However, it is the opinion of all three Authorised Representatives involved in these visits that staffing levels should be improved to cope with the range of clients disabilities. After the clients had all had their refreshments, they took part in a quiz and, the visiting team were told, would be having a game of Bingo in the afternoon and that another activity was going on in the Dementia unit. There was an activity cupboard which was tidy and well filled with games and equipment. Authorised Representatives noted that this had improved since the first visit. The Authorised Representatives expressed their concerns about the condition of the outside area as they had observed that there was an abundance of cigarette ends that would have built up over several weeks. They felt the whole garden area was also in need of a great deal of attention. The seating didn't look very well maintained and also observed was a hose pipe left attached to a tap in the Dementia area. There is no provider response included within this report.

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General details

Report title 
Enter and view: Sutton Beeches - Maple and Willow Units
Local Healthwatch 
Healthwatch Cheshire West and Chester
Date of publication 
Friday, 14 March, 2014
Date evidence capture began 
Tuesday, 11 February, 2014
Date evidence capture finished 
Friday, 14 March, 2014
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Continuity of care
Food and nutrition
Health and safety
Holistic support
Integration of services
Lifestyle and wellbeing
Quality of care
Service delivery organisation and staffing
Staff levels
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Not known
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? 
Not Known

Details of health and care services included in the report

Social care services 
Adult social care
Day care (social care services)

Details about conditions and diseases

Types of disabilities 
Types of long term conditions 
Alzheimer’s disease or dementia
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
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Not known
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
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 
Not known

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 

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.