Enter and view: Swan House

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Summary of report content

Healthwatch Bucks carried out an Enter and View visit to Swan House, a residential care home for 25 people, some of whom live with dementia.

Feedback from a visitor included that they felt their loved one was very well looked after. The Enter and View Representatives observed an activity coordinator playing bingo and doing a crossword with three residents, but little social interaction between staff and residents other than this. Residents said that the food was good some days but not always, and the Enter and View Representatives observed that whilst residents were given a choice of food, there were no written or pictorial menus available. The home was nicely decorated with tactile and reminiscence items and memory boxes, however there were no drinks and snacks out in communal areas for residents to help themselves to, and some residents appeared to be sitting or wandering around without being engaged with anything. The home’s activity schedule showed activities on four days that week as well as exercise sessions, however these were either on one floor or the other and no residents were observed moving between floors.

Healthwatch Bucks made 14 recommendations around: encouraging staff interaction with residents; bringing together like-minded residents; ensuring there are enough staff available to assist residents at mealtimes; ensuring residents are offered a choice of main meals and snacks; ensuring drinks and snacks are always at hand for residents; making more activities visible to residents in the lounges; engaging with more residents who are interested in the everyday running of the home; encouraging more use of the garden; increasing the number and range of activities on offer; and continuing to review the activities to ensure that they can engage with as many residents as possible, based on their different interests. The report includes a response from the service provider.

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General details

Report title 
Enter and view: Swan House
Local Healthwatch 
Healthwatch Buckinghamshire
Date of publication 
Monday, 22 July, 2019
Date evidence capture began 
Thursday, 27 June, 2019
Date evidence capture finished 
Thursday, 27 June, 2019
Type of report 
Enter and view
Key themes 
Building and facilities
Communication between staff and patients
Food and nutrition
Holistic support
Lifestyle and wellbeing
Quality of care
Service delivery organisation and staffing
Staff attitudes
Other information of note about this report 
Activity Coordinator
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 
User stories
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 about conditions and diseases

Conditions or diseases 
Neurological conditions
Types of disabilities 
Types of long term conditions 
Alzheimer’s disease or dementia

Details of people who shared their views

Number of people who shared their views 
Age group 
Specific ethnicity if 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

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.