Update on Hugh Myddelton House, Enfield

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Summary of report content

Following the initial Enter and View visit in February 2015 a further visit was made to follow up on the 20 recommendations made. An update has been obtained on each of the following: • Provision of activities – 2 activity coordinators employed • Use of internet for the residents – free WiFi available and iPad for less mobile residents • Opportunities for physical activities – residents encouraged by Activity Co-ordinator to participate appropriate physical exercises • Opportunities for going out – weekly outings arranged • Photos of staff – boards now in place • Accessibility of call bells – access for all residents • Communication Skills Training – Effective communication training is part of the induction for each member of staff as well as Dementia level 1 training. The Home recently went through Barchester’s 10-60-6 Dementia programme and staff are awaiting their accreditation • Equality and diversity training – delivered by Regional Manager • Manual handling training - Mandatory Training Moving and Handling during induction • Overnight stays for relatives – reclining chairs available • Volunteer involvement – active recruitment ongoing • Access to mental health services – local Mental Health team involved with regular reviews for residents • Hygiene – cleaning schedules in place • Signs and notices - All signs displayed are in accordance with the company policies and procedures which comply with the Health and Safety procedures • Seats for visitors – available in small lounge areas • Care home provider meetings – Regional Managers to take part • Staff holidays – undergone a review • Night staffing – Regional Director meets the teams • Team building – regular team meetings • Gold Standards Framework – review and start the reaccreditation process. Current findings: • Concerned to find that the frequent turnover of managers and activities organisers has continued • Recommend that physical exercise activities should be delivered by a person who has had appropriate training, such as a qualified physiotherapist.

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General details

Report title 
Update on Hugh Myddelton House, Enfield
Local Healthwatch 
Healthwatch Enfield
Date of publication 
Friday, 5 May, 2017
Date evidence capture began 
Friday, 5 May, 2017
Date evidence capture finished 
Friday, 5 May, 2017
Type of report 
Key themes 
Cleanliness hygiene and infection control
Communication between staff and patients
Health and safety
Holistic support
Lifestyle and wellbeing
Quality of staffing
Staff training
Other information of note about this report 
Meaningful Activities
Activity Coordinator
Healthwatch reference number 

Details of health and care services included in the report

Secondary care services 
End of life care
Mental health services 
Older peoples mental health community service
Social care services 
Nursing care home

Details about conditions and diseases

Types of disabilities 
Vision impairment
Types of long term conditions 
Alzheimer’s disease or dementia
Blindness or severe visual impairment
Deafness or severe hearing impairment
What type of pregnancy or maternity themes are included in the report 

Details of people who shared their views

Age group 
Not known
Not known
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
Service manager
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
Not known
What type of impact was determined? 
Implied Impact

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.