Enter and view: Tithe Farm

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Summary of report content

Healthwatch Bucks conducted an Enter and View visit to Tithe Farm Care Home, in October 2017, as part of their role to make sure that the residents are treated with dignity and respect. The home was informed two weeks in advance about the visit, but they were not told the exact time or date. The Healthwatch team talked to 2 members of staff, 2 visitors and 2 residents. They observed 12 residents and 6 members of staff. The team were warmly welcomed and immediately observed great interaction between the staff and the residents. The staff were very attentive to the residents’ needs and requests. The team observed how the residents’ personal choice was considered when serving meals and drinks and there seemed to be room for improvement in giving more choice in food and how it is served. The communal areas were comfortable and well decorated, although the dining room appeared a little "tired". Residents personalised their rooms with pictures and photos. Visitors regularly visit and one resident keeps her much loved cats in her bedroom. Healthwatch Bucks were told that residents were taken out in the garden if they wished and that some trips out were arranged, although the carer spoken to did not know the specifics of any trips. These trips were normally arranged by the activity coordinator. Healthwatch Bucks recommend that: • Tithe Farm try to incorporate dementia friendly pictorial signage for rooms. • Create a simple pictorial menu for residents to choose from and consider putting fruit on the tables in the communal areas making it more accessible than the position it is in now. • Place a large-scale activity board to be in a position where residents can see what activities are upcoming. • Make the games and books more accessible so residents can request to use them. • Create and/or invest in dementia friendly display boards on walls, fidget cuffs and reminiscence boxes (available to be borrowed from Bucks Libraries). • Encourage staff to engage more in one to one activities with residents and consider bringing in outside organisations to carry out activities. • Serve water with lunch. The service provider responded saying photographs are now placed on a wall were residents can see them. They also informed Healthwatch that outside activities do take part within Tithe Farm such as Yoga, Singers and Production Shows. Residents also go out to Garden Centres, Local Schools to hear children sing and watch cricket at our local club.

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General details

Report title 
Enter and view: Tithe Farm
Local Healthwatch 
Healthwatch Buckinghamshire
Date of publication 
Tuesday, 7 November, 2017
Date evidence capture began 
Tuesday, 10 October, 2017
Date evidence capture finished 
Tuesday, 10 October, 2017
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
Quality of care
Staff attitudes
Other information of note about this report 
Meaningful Activities
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
Structured interview
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 
Nursing care home

Details of people who shared their views

Number of people who shared their views 
Age group 
Specific ethnicity if known 
Sexual orientation 
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 
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? 
Tangible Impact (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.