Enter an view: Warmley House Nursing Home, South Gloucestershire

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Summary of report content

This is an Enter and view report from Healthwatch South Gloucestershire following a visit on the 11th and 24th November 2015. Conclusions and Recommendations This E and V visit found a warm, friendly and very caring environment with hard working staff. The layout of the building, with its narrow corridors and many stairs present staff with challenging issues, although the residents appeared happy and well cared for. The manager is dedicated, efficient and well respected by her staff, although she has increased demands on her time due to covering the management of another care home in the Four Seasons Group. There seems to be a difference of opinion as to the staffing levels at Warmley House. Management informed the authorised enter and view representatives that the home is overstaffed but residents, their relatives and care staff seemed to disagree. . HWSE representatives recommended that: • the older part of the building is redecorated. The dementia unit is looking worn and tired and did not seem a welcoming environment. The dementia unit is not ideal for dementia patients as it is positioned on the top floor with secure locked access; • residents are given more choice in regards to how often they have a bath or a shower. Staff, residents and relatives all voiced concern about the frequency that residents can be supported to bathe; • regular manicures and hand care is offered to all residents. Managers could ensure this happens by creating a simple table that identified which residents have had hand care each day or week; • managers update their practice around serving food. Members of staff were observed serving food without using aprons and gloves which is not acceptable practice due to food hygiene regulations; • the frequent, and intrusive noise of ringing call bells is addressed; • staff give more care and attention to residents’ lost laundry, particularly as it appears clothing items are clearly labelled. Residents’ families expressed concern about seeing their family member dressed in another resident’s clothing; • management ensure there is clear signage on all doors and public rooms using pictures as well as words.

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General details

Report title 
Enter an view: Warmley House Nursing Home, South Gloucestershire
Local Healthwatch 
Healthwatch South Gloucestershire
Date of publication 
Sunday, 6 December, 2015
Date evidence capture began 
Wednesday, 11 November, 2015
Date evidence capture finished 
Tuesday, 24 November, 2015
Type of report 
Enter and view
Key themes 
Building and facilities
Decor
Engagement
Food and nutrition
Health and safety
Lifestyle and wellbeing
Quality of care
Quality of staffing
Staff attitudes
Staff levels
Other information of note about this report 
Careplan
Safeguarding
Healthwatch reference number 
Rep-5463

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
Primary research method used 
Observation
Structured interview
Unstructured Interview
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
Another long-term condition

Details of people who shared their views

Number of people who shared their views 
7
Age group 
All
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
Sexual orientation 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Care / support workers
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? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

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.