Enter and view: Tri-annual summary report

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Summary of report content

Healthwatch Derbyshire created this summary to report on those enter and view visits that they were commissioned by Derbyshire County Council (DCC) to conduct as a range of unannounced visits to their residential services across the county. These visits have been undertaken between June - September 2016 and the visit reports themselves have been fully completed. As these Enter & View reports were commissioned primarily for DCC’s own consumption, the individual reports are not placed in the public domain as is usually the case with Healthwatch Enter & View reports. However, a tri-annual summary report was agreed to be made public and published at the end of September, January and March. The report contains details of 9 completed visits to the following services, all of which are residential care homes providing services to older people. These services are: - Ada Belfield House, Belper - Goyt Valley House, New Mills - New Bassett House, Shirebrook - Staveley Community Care Centre, Staveley - Lacemaker Court, Long Eaton - The Leys, Ashbourne - Gernon Manor, Bakewell - Holmlea, Tibshelf - Florence Shipley, Heanor Across all the visits in total, 38 residents responded to a questionnaire based interview, 14 relatives/friends and 32 members of staff. Summary findings included : - The services provide a homely, welcoming and comfortable environment. - The homes demonstrated a very good standard of care being delivered by committed and skilled staff which is recognised by residents and relatives alike. - There is a distinct contrast between older and more modern designed homes in the quality of some facilities available to residents. - Maintenance of garden areas and outside spaces is often challenging to up-keep. Specific recommendations made are not included in this report, but it does include a series of considerations for DCC from the summary report, including: - Review and monitoring of dementia friendly signage - Strategies to improve the quality of provision especially within older homes regardless of whether relocation is being planned - To ensure residents have the choice available to take baths or showers The report contains service provider responses.

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General details

Report title 
Enter and view: Tri-annual summary report
Local Healthwatch 
Healthwatch Derbyshire
Date of publication 
Thursday, 8 September, 2016
Date evidence capture began 
Monday, 6 June, 2016
Date evidence capture finished 
Friday, 12 August, 2016
Type of report 
Enter and view
Key themes 
Access
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Decor
Food and nutrition
Health and safety
Health promotion
Information providing
Lifestyle and wellbeing
Medication
Quality of care
Quality of staffing
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Healthwatch reference number 
Rep-5540

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Local Council
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? 
Unannounced

Details of health and care services included in the report

Social care services 
Nursing care home
Residential care home

Details of people who shared their views

Number of people who shared their views 
84
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? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Care / support workers
Nurses
Receptionists
Service manager
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 
Positive

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
No
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
What type of impact was determined? 
Tangible Impact (cost related)
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.