Evaluating Care Homes SUMMARY Report of all Enter and View visits June 2017 – March 2018 Programme

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Summary of report content

Healthwatch Salford published an evaluation of Enter and View visits undertaken in the period June 2017 to March 2018.  During this period they visited 15 homes.

 

Each home was evaluated against eight quality indicators: strong, visible management; staff with the time and skills to do their jobs; good knowledge of each individual resident and how their needs may be changing; a varied programme of activities; quality, choice and flexibility around food and mealtimes; ensuring residents can regularly see health professionals such as GPs, dentists, opticians or chiropodists; accommodating residents’ personal, cultural and lifestyle needs; and being an open environment where feedback is actively sought and used. 

 

Findings

 

Practice and standards varied and were often inconsistent across the different homes, but this was not surprising when factoring in staffing issues and turnover of managers, with at least 7 out of the 16 homes having different managers from the time Healthwatch Salford started this project back in June and had identified the registered managers to contact. It became clear to Healthwatch Salford that effective, caring and responsive managers make all the difference, whether new or in post for many years, and often expect, manage and support care home staff to demonstrate these qualities too, with positive impacts on quality of care.

 

The Enter and View programme is a challenging, but ultimately constructive, process for home managers to undertake, especially so when there are difficult economic conditions and legislative changes (such as the Care Act 2014) to be accommodated as well. Most home managers eventually gave positive and constructive feedback about the Enter and View process.

 

Healthwatch Salford has a statutory duty to involve local people in influencing the organisations that affect them and this programme has met this duty through speaking to a total of 82 residents, 66 staff, 18 friends and family members and 16 managers.

 

Healthwatch Salford also inducted and trained 18 volunteers in the Enter and View process, some of which decided that the role was not something they wanted to do in practice but went onto volunteer in other roles. In total 11 volunteers wanted to get involved as Authorised Reps, 5 of which were able to commit to the dates and times of the visits. 

 

Recommendations

 

Across 16 visits there were 87 recommendations made, with corresponding responses from the home.  The themes from these recommendations were:

  • Care plans
  • Staffing levels
  • Staff training and support
  • Environment
  • Information and accessibility
  • Food
  • Activities
  • Procedure
  • Maintenance

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General details

Report title 
Evaluating Care Homes SUMMARY Report of all Enter and View visits June 2017 – March 2018 Programme
Local Healthwatch 
Healthwatch Salford
Date of publication 
Thursday, 5 December, 2019
Date evidence capture began 
Thursday, 1 June, 2017
Date evidence capture finished 
Saturday, 31 March, 2018
Type of report 
Enter and view
Key themes 
Building and facilities
Cleanliness hygiene and infection control
Communication between staff and patients
Decor
Food and nutrition
Holistic support
Lifestyle and wellbeing
Quality of care
Quality of staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 
Rep-5046

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
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? 
Announced/Unannounced

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
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
182
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
Service manager
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 
Not known

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? 
Not known
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.