Enter and view: Cliveden Manor

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Summary of report content

Healthwatch Buckinghamshire conducted an Enter and View visit to Cliveden Manor Care Home, a nursing care home for up to 85 residents, on 10 May 2018. The visit was carried out as part of their Dignity in Care programme of work and, while the Home was given notice that the visit would occur, they were not given the exact date or time.

The Healthwatch Buckinghamshire Enter and View Authorised representatives observed that the Home was a well designed, relaxed but accessible home especially for those living with dementia in specialised wing - The Willows. They also noted a wide range of activities and that personal choice and independence is promoted.

A dignity champion explained to the Authorised Representatives that they would help manage transport and NHS appointments but

only took photocopies of these letters with the permission of residents. Whilst many people reported that care was given behind closed doors and privacy was respected, one resident did say that staff didn’t always knock on their bedroom door. Staff were observed to always

explain what they were doing and what would happen next.

The Activities Programme promoted 5-7 activities a day, 7 days a week including, this week, trips out to Henley, Chinnor steam railway and Marks and Spencer. The Willows (Specialised Dementia Wing) had a modified programme of activities to suit residents’ needs. The home has access to 2 minibuses for this. Inside the home, gentle Chinese exercise, poetry reading, giant scrabble and movie nights were all advertised. Residents, observed participating in an art class, were noted to be obviously enjoying it. A visitor told reported their relative, who had upper body mobility issues, had been helped to participate in a cookery class and to play carpet bowls.

The report recommended that the home: introduces picture menus for those living with dementia and others who find it difficult to read. as some residents may find these preferable to having a member of staff read the options out to them; introduces pictorial activity notices particularly in The Willows; and that the kitchen increase the variety of vegetables on the menus.

The provider responded explaining that their Head Chef holds a monthly forum which is well attended by residents and that the Restaurant

Manager and his team are continuously engaged with residents to ensure performance is monitored effectively.

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General details

Local Healthwatch
Healthwatch Bucks
Publication date
Date evidence capture began
Date evidence capture finished
Type of report
Enter and View
Key themes
Building, Decor and Facilities, including health and safety
Cleanliness, Hygiene and Infection Control
Communication with patients; treatment explanation; verbal advice
Consent, choice, user involvement and being listened to
Follow-on treatment and continuity of care
Public consultation and engagement
Food, nutrition and catering
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?
Not known
Primary research method used
Observation (eg Enter and View)
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

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
18
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
Learning disability or difficulties
Types of long term conditions
Dementia
Does this report feature carers?
Yes
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