ENTER & VIEW REPORT Wedgwood Unit, Stadium Court
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ENTER & VIEW REPORT Wedgwood Unit, Stadium Court Residential & Nursing Home Date & Time of Visit The visit took place on Wednesday 7th December 2016 at 10:30 a.m. Name of Service Provider & Premises Visited Bupa – Wedgwood Unit, Stadium Court Residential & Nursing Home, Greyhound Way, ST6 3LL. Tel: 01782 207979 Registered Home Manager Name Mr. Adam Moore Authorised Representatives Jean Mayer, Phil Leese, Dave Rushton All Team members have undertaken specific Enter & View training and are Disclosure and Barring Service Checked. Reasons & Purpose for the Visit Healthwatch Stoke-on-Trent, in partnership with the City Council, has introduced a Dignity and Respect Charter which applies to every resident receiving care. Our visit is to assess how this is perceived by both residents and staff; The recent change in use from residential to nursing care within the Wedgwood Unit has prompted a visit so that we may meet residents and staff working here. Overview of the Wedgwood Unit The Wedgwood Unit has recently changed use and now provides beds and short stay care for residents no longer requiring a bed at the acute hospital (University Hospital of North Midlands). It is anticipated that residents here will stay for periods of between 4 and 8 weeks during which time they will undergo physiotherapy and other services to ensure they are able to go home at the end of the stay. A Quality Assurance Team based at the UHNM monitors the service to ensure that any issues relating to admission and transfer arrangements are shared and resolved. There is careful monitoring of all activity including readmissions. 1 | P a g e Healthwatch Stoke-on-Trent, Dudson Centre, Hanley, Stoke-on-Trent, ST1 5DD. Tel: 01782 683080 E: [email protected] The length of stay at the unit is expected to be short and assessments are made so that social workers (both from Stoke-on-Trent and the County) can arrange suitable discharge packages. At the time of the visit, the 33 bedded unit had only 22 residents, but we were informed that since it is designed for short stay residency only, the number can and does change daily. In almost all cases, we were assured that assessments are carried out on the same day. The building itself is light and airy. We observed the fact that all public areas were well furnished and tidy. Furniture was in good condition and seemed comfortable. Thought had obviously been given to the fact that several residents needed to manoeuvre around the facility using wheel chairs. Outside, the grounds outside were generally well kept and were easily accessible through French windows. A tuck shop is located in a new shed close to the entrance/exit. Methodology Members were able to talk to the new Manager, Adam Moore (he had been in position for only five days at the time of visit) who was extremely helpful and supplied useful information. The visiting team were also grateful to time given by Ms. Kim Wheatley (the recently appointed Clinical Services Manager who has worked for BUPA for almost 12 years). She supplied us with a great deal of background information regarding staffing and related topics. Conversations were also held with other members of staff as well as casual conversations with a number of residents. Members were able to walk around the Unit and view the available facilities, including an invitation into one of the residents’ rooms. Key findings and Suggestions The unit appears to provide a pleasant environment and is clean, well furnished and comfortable; This is a rehabilitation unit and individual goals are set for each resident to encourage participation and to plan for any future care needs; Food provision and choice seems to be very good. However, perhaps staff would benefit from advance instruction on residents who may have special dietary requirements (for example we heard that an Indian lady had initially experienced problems with the menu). Menus were changed daily to provide a good choice of food and were clearly displayed. 2 | P a g e Healthwatch Stoke-on-Trent, Dudson Centre, Hanley, Stoke-on-Trent, ST1 5DD. Tel: 01782 683080 E: [email protected] Although not part of the visit, one of our team raised a problem she had had reported to her by a member of the public. Her elderly mother had been readmitted to the UHNM and when the daughter visited Stadium Court to check on her mothers’ room, found it to be occupied by someone else. Possessions of her mother as well as those of the new occupant were in the room. Both Adam Moore and Kim Wheatley agreed this should not have happened and promised us they would get back to us regarding this incident. Environment Entrance Upon arrival, we noticed our Dignity and Respect poster clearly displayed. The Unit can be accessed via two separate entrances and we observed that both provided secure access. The fire exit was clear and unobstructed. Lounge/ Dining room The reasonably sized lounge is bright and well decorated. A Yuletide display had been created and provided a pleasant festive atmosphere. In one corner of the lounge, a ‘kitchen’ area has been set up to allow the residents to re- acquaint themselves with the use of kettles, sinks, taps, etcetera. Another area was comfortably furnished and set up as a television ‘lounge’. We observed several residents in this area and all seemed reasonably cheerful and content. Our Representatives were able to talk to a member of staff as well as three residents. Set off this unit there is a pleasant garden area which residents would enjoy when the weather is warmer. Residents room Our team was invited to visit one of the rooms occupied by a resident. It was clean and comfortable. The resident informed the team that it was like a ‘home from home’ and that they had ‘no complaints’. Staffing We were informed that, on days (8:00 a.m. – 2:00 p.m.) there were normally nine staff (excluding the managers) but on this day, there were one carer short. The nine positions consist of: 1 nurse, 2 senior carers and 6 carers. The evening shift (2:00 p.m. – 8:00 p.m.) is staffed in a similar manner. The night shift comprises one nurse and three carers. The sickness register and the training register were both kept up to date. We were informed that residents are weighed weekly (or more often if required) and any changes in eating habits noted down. 3 | P a g e Healthwatch Stoke-on-Trent, Dudson Centre, Hanley, Stoke-on-Trent, ST1 5DD. Tel: 01782 683080 E: [email protected] We were told that morale had genuinely improved since the recent change of use (referred to earlier in the report) and the change of management. Staff were unafraid to question or comment on matters and they felt they were being listened to. We feel it only appropriate to particularly mention Angela Bailey as one of the senior staff we spoke to as she was held in extremely high regard by the residents and showed real enthusiasm and helpfulness when we spoke to her. Activities Since this is intended to be a relatively short stay facility for residents, there is no full-time Activities Manager. However, a couple of residents told us they had been taking part in bingo sessions as well as card/domino sessions. They were unsure if there were further activities as they had only been in for a very short time. A senior member of staff told us there were also choir (sing along) and karaoke nights. Residents engaged with Resident one: The first gentleman we spoke to had been sent to the Wedgwood unit after a two week stay in the Royal Stoke University Hospital (RSUH) after falling from a ladder. He had been here for two days and was in a wheelchair while regained his ability to walk. He said that all staff were ‘enthusiastic and caring’ and that it was ‘much better than being in hospital’. He expected his residency to last for about six weeks and told us the physiotherapy was excellent and the food was good. Resident two: A second gentleman had been there only twenty-four hours, following a further operation on his hip, which regularly had become dislocated. He said that the unit seemed friendly and that the staff were extremely good and caring. It was too early in his stay to comment on the activities but was ‘looking forward to a good game of cards later on’. Resident three: a lady resident showed two of our visitors her room and told them that it was much better than staying in hospital. She had used the on-site hairdressing salon that same morning because she was being discharged to home later that day. Her stay had been excellent and she praised the staff for looking after her so well. Summary The Authorised Representatives would like to offer thanks to the residents and staff for taking the time to show us around and answer our questions. Representatives had a good opportunity to observe the level of care being offered and the environment in which this was provided. We found this Unit to be very friendly, providing an excellent level of comfort and care and we heard only praise from the residents we spoke to. Healthwatch Stoke-on-Trent wishes to extend its’ thanks to the staff at Wedgwood House 4 | P a g e Healthwatch Stoke-on-Trent, Dudson Centre, Hanley, Stoke-on-Trent, ST1 5DD. Tel: 01782 683080 E: [email protected] 5 | P a g e Healthwatch Stoke-on-Trent, Dudson Centre, Hanley, Stoke-on-Trent, ST1 5DD.