Enter and view: Walstead Place

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Summary of report content

Healthwatch West Sussex conducted an enter and view visit to Walstead Place on 10th March 2015. The purpose of the visit was to understand and report on the experiences of residents of the home, their relatives, supporters and staff; in relation to dignity within the home. This was an announced visit which was conducted by trained volunteers. Interviews involved 3 residents, 3 relatives and 3 members of staff, including the manager and deputy manager. All residents have individual care plans which are reviewed on a regular basis. Residents spoken to overall felt that staff were respectful and listened to them, some residents suggested that night staff could sometimes be brusque. Residents were happy that staff helped them to maintain good levels of personal hygiene. All residents have their own bedrooms and have access to them. Three activities staff work within the home, providing a very active programme known as the “Five a Day”, residents were also satisfied with the choices they were given, and spoke about the things they enjoyed doing. Recommendations Choice & control - To ensure residents are given regular opportunities to discuss and identify any areas of their daily lives where they would like to be given more choice or control. Communications - To hold discussions with residents (including those with hearing deficiencies) to explore issues of loneliness, whether this exists and what could be done to alleviate it. Pain Management - Consider providing training to help staff identify and monitor if a resident was in pain or distress. Privacy - To discuss the issue of unwanted access to private bedrooms among both staff and residents, possibly at the Dignity Forum, and to act on any concerns which are raised. Policies, Procedures and Training - All minutes taken in meetings should contain a record of all action points and any resulting changes in service made, along with a responsible individual. Service Provider response Choice & control In order to ensure that all residents are being given the opportunity to have as much choice and control over their lives as possible the Home Manager is initiating an individual review of all resident’s lifestyle choices and subsequent care planning if required in order that this will be as up to date and effective as possible. Communications Regular Staff meetings are held at Walstead Place and resident requirements are always discussed however a special emphasis will be given to the possibility that some residents may be feeling lonely but are not always voicing this to staff. There will also be an emphasis on communicating effectively and occupying those people with hearing difficulties. Visit report: Walstead Place Page 7 Pain Management Pain control does not appear to be an issue of concern at Walstead Place as the above report evidences. However in order to ensure that pain management is as effective as possible supervision sessions with staff will include this particular topic and also discussion around the introduction of tool specifically designed to help recognise non-verbal indicators of pain for people who are unable to communicate their needs effectively. Privacy Walstead Place has not received any concerns relating to Privacy, in particular uninvited visitors in resident’s private rooms. This topic will be discussed with residents during the above process of reviewing individual resident’s lifestyle choices as some residents may wish to have more confidence that their privacy will not be compromised. Policies, Procedures and Training The format of staff and resident’s meetings will now include itemisation of suggested improvements or changes within Walstead Place with an associated action plan specifying persons responsible and timescales for completion.

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General details

Report title 
Enter and view: Walstead Place
Local Healthwatch 
Healthwatch West Sussex
Date of publication 
Tuesday, 10 March, 2015
Date evidence capture began 
Tuesday, 10 March, 2015
Date evidence capture finished 
Tuesday, 10 March, 2015
Type of report 
Enter and view
Key themes 
Building and facilities
Lifestyle and wellbeing
Quality of staffing
Staff attitudes
Staff levels
Support
Healthwatch reference number 
Rep-5496

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Observation
Survey
How was the information collected? 
Survey
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 
Adult social care

Details of people who shared their views

Number of people who shared their views 
9
Age group 
All
Gender 
All
Ethnicity 
All
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
Service manager
What was the main sentiment of the people who shared their views? 
Positive

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.