Enter and view: Hadley Lawns Residential and Care Home

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Summary of report content

Healthwatch Barnet conducted an announced Enter and View visit to Hadley Lawns, a 41 bed BUPA residential home, on 21 May 2014 as part of a planned programme of work.

Hadley Lawns is a converted and refurbished former private house with well kept gardens. The Home caters for residents who have had strokes, people with Parkinson’s, people with stoma bags and /or using PEGS and people with palliative care needs. People with a dementia diagnosis are not accepted but if this develops while they are resident, this is catered for. Hadley is used regularly for respite care, often by the same people for many years.

Residents and relatives spoken to by the Enter and View Authorised Representatives expressed general satisfaction with their care but felt that it was important to visit regularly to keep abreast of changes and to ensure the best care was being given at all times. BUPA is currently

restructuring in line with the economic climate and, the report states, this needs to be managed effectively, as it has affected staff morale in spite of an enthusiastic and caring new Manager.

Some of the staff spoken to by the visiting team suggested that services were focussed predominantly towards the residents on the residents on the lower floor (residential care) and that more could be done to improve the quality of life for residents with nursing needs on the top floor. One relative commented that the food had been poor but has recently improved. Families will often help their relatives at meal times and some non care staff may support residents eating downstairs. Authorised Representatives observed food being left uncovered and a resident who appeared to be asleep having food left in front of her without a member of staff rousing them , even when alerted to this by one of the visiting team.

The report acknowledges that Hadley Lawns is part of the much larger BUPA organisation and as such may not be in a position to implement all the changes that are needed in a timely manner. The Healthwatch Barnet visitors felt that the current Manager comes across

as able, enthusiastic, interested in promoting change, and cares for the residents and is well aware that, unless the local community rates the Home, Resident numbers will not rise.

The report makes a number of recommendations, including some aimed at the overarching BUPA organisation, the Home Manager has responded very positively to the recommendations that she is able to implement, and advises what actions have been, or are going to be, taken.

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General details

Local Healthwatch
Healthwatch Barnet
Publication date
Date evidence capture began
Date evidence capture finished
Type of report
Enter and View
Key themes
Administration (records, letters, results)
Triage and admissions
Building, Decor and Facilities, including health and safety
Cleanliness, Hygiene and Infection Control
Communication with patients; treatment explanation; verbal advice
Complaints
Consent, choice, user involvement and being listened to
Follow-on treatment and continuity of care
Public consultation and engagement
Food, nutrition and catering
Health inequality
Written information, guidance and publicity
Prevention of diseases, including vaccination, screening and public hygiene
Lifestyle and wellbeing; wider determinants of health
Caring, kindness, respect and dignity
Staffing - levels and training
Service organisation, delivery, change and closure

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Observation (eg Enter and View)
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

Details of health and care services included in the report
Care home

Details of people who shared their views

Number of people who shared their views
8
Age group
Not known
Gender
Not known
Is the gender identity of people in the report the same as the sex they were assigned at birth?
Not known
Sexual orientation
Not known
Pregnancy/maternity
N/A
Types of disabilities
Long term condition
Types of long term conditions
Other
Does this report feature carers?
Yes
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