Enter and View: Three Elms Care Home Report , Warrington

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Summary of report content

Healthwatch Warrington conducted an Enter and View (E&V) on Three Elms Care Home, which offers residential, respite, day care, dementia and end of life care and has a capacity of 60 bedrooms of which 56 are occupied. The visit, which lasted 2 hours and was conducted on 15 November 2016, was carried out as part of Healthwatch Warrington’s series of Best Practice Enter and Views visits. Three Elms was identified as having undertaken significant positive improvements and therefore the aim of the visit was to gain an insight into these improvements and identify transferable lessons that could be used to improve other providers in the future. Observation by the E&V team reported that the refurbishment process was underway with the upstairs portion providing a good insight into the changes being made. Overall the first impressions were positive, and staff were friendly and respectful towards residents. The home appeared clean for the most part with well-maintained dining areas and a mixture of seating arrangements in the lounge. There are many facilities to support resident’s lifestyle and interests including a secure designated smoking area, pets in the home such as dogs and rabbits, a range of pre-planned activities to choose from and weekly visits from the hairdresser. Resident’s bedrooms can be easily identified by their name and picture on the door however, this information is missing from some bedrooms. One resident commented that although she didn’t like being there, the food was good and she felt safe. A visitor also praised the staff for their caring attitude and going the extra mile to look after the residents. In response to the report, the manager stated that she appreciated the feedback and had no amendments.

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General details

Report title 
Enter and View: Three Elms Care Home Report , Warrington
Local Healthwatch 
Healthwatch Warrington
Date of publication 
Tuesday, 15 November, 2016
Date evidence capture began 
Tuesday, 15 November, 2016
Date evidence capture finished 
Tuesday, 15 November, 2016
Type of report 
Enter and view
Key themes 
Building and facilities
Car parking access
Communication between staff and patients
Food and nutrition
Lifestyle and wellbeing
Quality of care
Quality of catering
Quality of staffing
Quality of treatment
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Other information of note about this report 
Activity Coordinator
Good Practice
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
If this work has been done in partnership, who is the partner? 
Primary research method used 
Unstructured Interview
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 
Residential care home
Respite care

Details about conditions and diseases

Conditions or diseases 
Neurological conditions
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 
All people 18 and over
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 
Service manager
Does the information include other people's views? 
Not known
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? 

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.