Enter and view: What is it like to live in a care home for older people in Stockton-on-Tees?

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Summary of report content

Healthwatch Stockton-on-Tees conducted Enter and View visits to 28 care homes, to look at the quality of life provided to older people living in residential and nursing care.

Key findings included: people were generally happy with the management of services from both staff members and relatives, although some managers were less visible to residents around the homes; most staff spoken to believed they did have the skills needed to do their job, but time pressures were a problem, mainly due to the amount of paperwork they had to complete; both residents and relatives said that staff were kind and caring, but often seemed to not have enough time. Family members generally felt they were kept well-informed by the service; residents generally felt that staff were aware of their particular needs and did their best to meet them; some staff did not feel that a sufficiently stimulating activity programme was in place for residents, and in many services residents being engaged in activity did not seem to be a priority – relatives and residents also commented on a lack of stimulation and activities for residents. Residents and relatives were generally happy with the choice and quality of food and drinks available, and staff reported accessing a full range of other health care professionals when needed.

The report made 15 recommendations around: improving activities for residents; all care staff engaging with residents on a daily basis; ensuring all services provide accessible transport for residents; ensuring all staff receive equality and diversity training; giving greater priority to resident and relative meetings; making the best use of dementia-friendly features; supporting all residents to enjoy their dining room experience; supporting staff training; service provider support for care home managers; exploring the use of technology to help reduce paperwork; making wifi available throughout homes; ensuring everyone is aware of the procedure for dealing with complaints; and regulators and commissioners of services working more collaboratively with care providers to make the process of assessing care better.

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General details

Report title 
Enter and view: What is it like to live in a care home for older people in Stockton-on-Tees?
Local Healthwatch 
Healthwatch Stockton-on-tees
Date of publication 
Thursday, 18 April, 2019
Date evidence capture began 
Wednesday, 1 August, 2018
Date evidence capture finished 
Monday, 31 December, 2018
Type of report 
Enter and view
Key themes 
Admission
Communication between staff and patients
Complaints procedure
Decor
Engagement
Food and nutrition
Health promotion
Holistic support
Information providing
Lifestyle and wellbeing
Quality of care
Quality of catering
Quality of patient transport
Quality of staffing
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Other information of note about this report 
Careplan
Meaningful Activities
Activity Coordinator
Activities
Healthwatch reference number 
Rep-4552

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Observation
Survey
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

Details of people who shared their views

Number of people who shared their views 
445
Age group 
All
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
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
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? 
No
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.