Enter and View: Thornton Lodge Care Home

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Summary of report content

Healthwatch Salford carried out an Enter and View visit to Thornton Lodge, a nursing and residential care home with places for up to 34 residents.

 

The home was evaluated against eight quality indicators: strong, visible management; staff with the time and skills to do their jobs; good knowledge of each individual resident and how their needs may be changing; a varied programme of activities; quality, choice and flexibility around food and mealtimes; ensuring residents can regularly see health professionals such as GPs, dentists, opticians or chiropodists; accommodating residents’ personal, cultural and lifestyle needs; and being an open environment where feedback is actively sought and used. 

 

findings

 

Authorised representatives conducted interviews with seven members of staff at the care home, plus the registered manager. Topics such as quality of care, safety, dignity, respecting and acknowledging the resident and families’ wishes and staff training were explored. Authorised representatives also approached twelve residents at the care home to ask them about their experiences of the home and, where appropriate, other topics such as accessing health care services. No family members or friends were spoken to as there were none present at the time of visit.

 

Overall, from the twenty individuals Healthwatch spoke to and from what they observed at Thornton Lodge, it was clear that the management team acknowledge there are areas requiring improvement following a CQC inspection in March 2017 (report published in May). The residents and staff were very positive about the care home but identified issues around providing personalised care, meals, access to activities, staff training and support and the environment which need to be addressed.

 

Recommendations

 

  • Care Plans – continuing to improve the care plans so that residents' needs and personal preferences are reflected by the care but also when planning activities and meals.
  • Activities – more staff support should be put in place to help residents to engage in activities in the home, carry on past hobbies where possible; and to go outside or arrange trips.
  • Food – more choices of meals should be made available for residents and more staff put in place to encourage sociable meal times.
  • Training – more opportunities to access training and providing opportunities for professional development should be put in place and this should be during paid work time.
  • Staff Support - staff would benefit from daily handovers as shifts end and start to make sure they are aware of residents’ changing needs.
  • Environment – the care home would benefit greatly from internal painting, changing flooring and improving the outdoor spaces so that residents can fully utilise communal areas.

There is a positive response from the care provider to the recommendations.

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General details

Report title 
Enter and View: Thornton Lodge Care Home
Local Healthwatch 
Healthwatch Salford
Date of publication 
Thursday, 5 December, 2019
Date evidence capture began 
Thursday, 24 August, 2017
Date evidence capture finished 
Thursday, 24 August, 2017
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Decor
Food and nutrition
Holistic support
Lifestyle and wellbeing
Quality of care
Service delivery organisation and staffing
Staff levels
Staff training
Healthwatch reference number 
Rep-5047

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 
Nursing care home
Residential care home

Details about conditions and diseases

Types of long term conditions 
Alzheimer’s disease or dementia
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 
20
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? 
No
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? 
No
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? 
Not known
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.