Wave 5 care home visits: Enter and view

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Summary of report content

Healthwatch East Sussex conducted visits to 44 care homes for older people in their area rated as either good or outstanding by the CQC, their object to understand and share good practice amongst local social care providers. The focus for their visits, conducted using observation and questions prepared in advance for residents and staff, was to understand the levels of choice and independence available to residents. This was closely tied to enquiries and observations made about accessing outdoor space and feeling part of the community. What they found was that choice and independence is linked to amenities, information and communication and activities. In addition they saw very good practice where care homes brought communities into the care setting whether this is through visits from children who attend a local nursery or a range of different animals. There is a correlation with care quality and the quality of activity coordinators; good coordinators will offer a range of activities at the home such as gardening as well outside the home such as visits to the seafront or cinema. Some suggestions include residents newsletters, meetings and welcome packs, indoor and outdoor sensory spaces, roles for residents such as ambassador, access to transport to do outings, access to technology such as Skype and Alexa and importantly the ability to feedback to staff and see change happen as a result.

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General details

Report title 
Wave 5 care home visits: Enter and view
Local Healthwatch 
Healthwatch East Sussex
Date of publication 
Friday, 1 November, 2019
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
Health and safety
Information providing
Lifestyle and wellbeing
Quality of care
Quality of staffing
Staff attitudes
Other information of note about this report 
Meaningful Activities
Activity Coordinator
Good Practice
Activities
Healthwatch reference number 
REP-5116

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 
Adult social care
Residential care home

Details about conditions and diseases

Types of disabilities 
Hearing
Memory
Mobility
Types of long term conditions 
Alzheimer’s disease or dementia
Deafness or severe hearing impairment
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 
Unknown
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Service manager
Does the information include other people's views? 
Not known
What was the main sentiment of the people who shared their views? 
Positive

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? 
Not known

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.