DISCLAIMER
This report relates only to the service viewed at the time of the visit and is only representative of the views of
the staff, visitors and residents who met members of the Enter and View team on that date.
© 2019 Healthwatch Blackpool
Haddon Court Care Home Enter and View Report
Tuesday 11th November 2019
Enter & View Report Haddon Court Care Home Blackpool
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Contact Details:
8-14 Haddon Rd
Blackpool
FY2 9AH
Homes point of contact: Owner: Peter McGailey
Date and time of visit:
Tuesday 11th November 2019
11:00am to 15:00pm
Healthwatch Blackpool Authorised
Representatives:
Beth Martin - Project Officer
Julie Huttley - Volunteer
Introduction
Our visit to Haddon Court Care Home was an announced Enter and View visit undertaken by authorised
representatives from Healthwatch Blackpool. The visit was arranged as part of Healthwatch Blackpool’s
Understanding Dementia Project.
The Health and Social Care Act allows local Healthwatch authorised representatives to observe service delivery
and talk to service users, their families and carers on premises such as hospitals, residential homes, GP practices,
dental surgeries, optometrists and pharmacies.
Healthwatch representatives are trained staff and volunteers who carry out these visits and offer
recommendations where there are areas for improvement.
The Enter and View authorised representatives record their observations along with feedback from residents,
staff and where possible, resident’s families or friends.
The Healthwatch Blackpool team compile a report reflecting observations and feedback from Haddon Court Care
Home, making comment where appropriate. The report is sent to the manager of the facility for fact validation.
Any response from the manager will be included in the final version of the report which will be published on the
Healthwatch Blackpool website www.healthwatchblackpool.co.uk.
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General Information
Haddon Court Care home is privately owned.
The care home has maximum space for 33
residents. At the time of Healthwatch’s visit
the home was at capacity.
Information obtained from carehome.co.uk
states that the home provides care for
Dementia.
The latest CQC report dated 30th April 2019
rated this home as good.
Methodology
The Enter and View visit was an announced visit arranged as part of Healthwatch Blackpool’s
Understanding Dementia Project. The purpose of the visit was to observe the holistic care
environment for older adults and people with Dementia residing in care homes in Blackpool.
The Enter and View authorised representatives record their observations along with feedback
from residents, staff and where possible, resident’s families or friends.
We use templates as guides, to assess the environment of a facility and gather information
from respondents to ensure that reports compiled are fair (please see appendix for a copy of
the Kings Fund Environment assessment guide).
The Enter and View representatives made an announced visit on Wednesday 11th November
2019 at 11:00am to 15:00pm.
We spoke to seven residents, the home owner, one member of staff and two relatives.
Information was gathered to understand the overall experience of the home. Discussion was
structured to consider environment, care, staff, nutrition and activities.
The Healthwatch representatives also recorded their own observations of the environment and
facilities which is included in this report.
Our role at Healthwatch Blackpool is to gather views of service users, especially seldom or
never heard. This is to give people the opportunity to share feelings about a service,
regardless of their perceived ability to be able to do so.
Feedback in reports are taken as given, these are not censored.
Acknowledgements
Healthwatch Blackpool would like to thank
Peter, staff, visitors and residents for making
us feel welcome.
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Observations
Environment and Access
Haddon Court Care Home is a three storey home in Blackpool. The home is situated
close to Blackpool Seafront and local amenities are close by.
The Care Home has on street parking situated at the front of the building. The home
does not appear to have on-site parking facilities.
Representatives observed a disabled ramp servicing the front of the building.
Handrails were also observed. There was a bell on the outside of the building and a
signing in book and hand gel available in the porch area. The main entrance to the
home is secure.
The door was answered in a timely manner and we were introduced to the owner
who was very accommodating.
Haddon Court Care Home caters for a maximum of thirty-three residents. It is a
registered Care Home that caters for people living with Dementia. Haddon Court was
full at the time of our visit, we were informed that deprivation of liberty safeguards
(DOLS) were in place for many of the residents residing at Haddon Court Care Home.
All rooms in Haddon Court Care Home are single occupancy. Healthwatch
representatives were informed that twenty-eight of the bedrooms have en-suite
facilities.
Observations are rated on a Red, Amber, Green scales as follows;
- We would choose this home for a loved one who has a Dementia diagnosis.
- We may choose this home for a loved one who has a Dementia diagnosis if some
improvements were made
- We would not choose this home for a loved one who has a Dementia diagnosis unless
significant improvements were made.
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All communal areas at Haddon Court were on the ground floor and the home has a
serviced lift.
The Healthwatch poster was displayed as requested.
Lounges Dining and Public Spaces
Healthwatch representatives observed three lounge areas, large dining room, a
resident’s kitchen space/snack space (to promote independence) and garden. All
lounges and dining space is situated on the ground floor.
Residents were observed watching TV, listening to music, having snacks in the
dining space and drinking hot drinks. Representatives observed one resident
returning from a walk with a member of the care staff.
We were informed by the owner, that the home has chosen to overstaff on care
and then utilise staff to do activities with residents.
There was evidence of planned activity displayed on the board in the main
corridor.
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Representatives observed relatives visiting and a staff member supporting
residents with medication.
There did not appear to be any Dementia friendly clocks in the social areas.
Representatives were made aware that lunch was a lighter meal ‘mushroom soup
and sandwiches’. Representatives did not observe a menu on display, however
there was a Monday – Sunday board printed on the dining area wall.
The dining area was bright and welcoming. The area had lots of table space.
Representatives observed a large games cupboard in the room and there was a
large open kitchen space and snack area for residents. Representatives were
informed that residents have the option to make their own breakfasts alongside
the cooked options, to promote independence. Snacks included packet sweets,
chocolate and fruit.
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Representatives were informed that the snack station was introduced as a way to
encourage residents to eat. The owner stated that this has been successful and
many residents have not been losing weight.
Staff at the home wore tunics and were identifiable. Not all staff were wearing
name badges.
The first lounge that Healthwatch observed was bright, clean and welcoming. The
lounge had a sofa and large high backed chairs positioned around the room to
promote space. The room had a TV and residents were observed drinking tea whilst
watching the news.
The second lounge that Healthwatch observed was large and open. The space had
lots of high backed armchairs around the room. There was a TV playing ‘Mamma
Mia’ and care staff were seen dancing and supporting residents to lunch.
Representatives believed that the TV unit appeared to be low. The space had
pictures on display of residents on outings.
The third lounge that Healthwatch observed was bright and looked out onto the
garden. The room appeared to be a quiet space where residents were seen
listening to music. There was also a book shelf on display in the space. There was
differing seating options in this area, including a table and chairs.
The garden space is accessed through patio doors in the third lounge. The space
was green and colourful. There appeared to be outdoor seating and lots of
coloured decoration. The door to the space was locked, however we were
informed that the imitation grass fitted has made the area more desirable for
residents. The space did not appear to be one that can be independently accessed.
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The home serviced a hairdressing salon on the first floor. Representatives did not
observe the facilities however were informed that the hairdresser visits weekly,
depending on the level of demand this can be over one or two days.
Corridors, public toilets and bathrooms
All corridors appeared clean and tidy. There were handrails observed on the ground
floor to which were of contrast to the walls.
All radiators were appropriately covered.
Healthwatch representatives were made aware that all residents can independently
move around the home and nobody is hoisted. Residents can use lift facilities to
upper floors, representatives did observe residents using the stairs.
Stickers both pictorial and words were displayed on the downstairs doors. All
bedrooms had bedroom numbers and photographs of the resident to which the
room belonged. There were resident bedrooms on all three floors at Haddon Court.
Representatives observed two toilets and one assisted bathroom on the ground
floor at Haddon Court. The bathrooms appeared to be unisex and had signage
clearly marked on the door. The door however did not appear to be of a colour
that contrasted the walls.
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It must be noted that representatives observed a resident attempting to locate the
light switch for the second toilet on the corridor. The switch didn’t appear to be of
contrast to the wall so therefore may not be easily seen.
The two toilets on the corridor were small. They contained toilet and hand basins.
The toilet facility looked to be stocked with supplies. The toilet seat was white as
were rails. Representatives observed toileting support equipment to be in the
bathroom.
The bathroom observed was the assisted bathroom on the ground level. The room
was large and contained a bath and hoisting equipment .Representatives observed
this bathroom to have a smell. It was evident that the bathroom had been in use as
there were clothes on the floor.
The bathroom did not appear unclean however representatives observed the
flooring around the bathing facilities to be worn. Again the bathroom appeared to
have appropriate supplies and equipment to support.
The upstairs corridors were clear and bedrooms and lifts were clearly identifiable
with signage. Shared bathroom facilities were observed and appeared clean and
stocked with supplies.
Observations of resident and staff interactions
Representatives observed five staff on duty along with the owner of the home, a
cleaner and a member of the kitchen staff.
Staff were observed supporting adults with medication. Asking choices in relation
to snacks, making hot drinks and supporting residents to the dining space for
lunch. Staff appeared to be busy responding to calls via the ‘call system’ which is
said to be mostly via sensor mats on resident’s floors.
Healthwatch observed lunch which was sandwiches and soup. Staff wore gloves to
serve food and were observed telling residents what the meal choice was. The
owner informed Healthwatch representatives that there was a lighter meal choice
for lunch and dinner is a larger meal, today chicken pie, mash and vegetables.
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We were informed that if necessary red crockery is used, though we did not
observe.
Staff were accommodating and engaged in conversation with Healthwatch
representatives.
One resident needed medical attention from the ambulance service on our visit.
The resident was treated with dignity and was supported by a member of care
staff to the hospital.
Observation of resident bedroom on invitation
Representatives were invited into a resident’s bedroom. The space was large and
airy and contained lots of personal belongings and pictures.
The room had an en-suite facility and the resident was observed doing crafts and
watching TV.
The space had a visual aid to support with glasses. This was provided by the
visiting optician which was described by the home manager as ‘fantastic, very
dementia friendly’. Representatives were informed that this enables staff to
ensure residents wear their own glasses.
Other rooms of differing sizes were observed. All individual, clean with evidence of
personal belongings.
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Feedback from residents
Care and Safety
‘I find it alright’
‘I’ve lived here for years’
‘Yes its very nice’
‘The staff do what they are told’
‘I’m used to this place. I feel safe’
‘I’ve lived here all of my life. It’s good’
‘I feel safe. The staff are lovely’
‘I’m looked after well’
‘it’s a lovely atmosphere’
‘I’m knackered I got up early’
‘It’s the best that it can be’
‘There’s always plenty of staff’
‘They don’t talk to you. You talk to them’
‘Staff are so gentle’
Eating and Drinking
‘There’s no choice on the menu’
‘it’s OK some days. You can ask for something else’
‘I enjoy the sweeties’
‘Lovely meals. Always something I like’
‘They haven’t a clue. They don’t cook they just warm it up and put salt on
everything’
‘The foods quite good. I have no idea what I’m having today’
‘Food is OK. We get a choice’
‘I don’t always want the food’
‘We get enough food really. Sometimes I feel like I don’t want a right lot of food’
‘I see something going about in the kitchen but I don’t know what it is’
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Environment
‘I have my own room with en suite’
‘Lovely bedroom, lovely atmosphere’
‘I like it here. Sometimes I cook’
‘My rooms nice’
‘I’m happy with the home. Its clean’
‘Mostly woman staff here. They are quite nice’
‘I like to sit and watch out of the window’
‘We used to grow fruit and veg’
‘Yes I find it easy to get around’
‘My room is beautiful’
Activities
‘It isn’t what you like to do, it’s what you have to do’
‘Sometimes I cook’
‘I like to go into Blackpool’
‘I don’t know if there are any activities’
‘I used to do cleaning, washing and ironing. I don’t do it anymore the cleaner
comes in her car’
‘My family take me out’
‘I go out everyday shopping’
‘Beauty comes in from Blackpool’
‘They do sometimes take us out but my husband always comes in’
Relatives and Friends views
How do you feel about the service?
‘It seems to be caring. I am always welcome. The home could be brighter and
more uplifting. Could have homelier decor’
‘My mother in law has settled in really well before coming in was becoming very
upset at home while trying to remain independent, this is no longer the case’.
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Staff come and go. I have had communication with safeguarding as my husband
was assaulted by a resident. I want to support at home as x has recently gone
from 11:30am – 3:40pm without a drink. I am seeking legal support.
Are you kept informed about your relative?
‘yes we are always kept informed of any concerns’
Are you aware of how to make a complaint?
‘yes’
I’ve been in touch with safeguarding.
Would you recommend this service?
‘Yes I would recommend’
‘I want to take x home’
Staff and Manager views
‘Haddon Court supports people with all types of Dementia. Each room is single
occupancy and we have twenty-eight rooms with en suite facilities. The home is
over three floors and has a lift’
‘All communal areas are on the ground floor’
‘We support natural waking and natural sleeping. Nobody is hoisted’
‘We support independence with breakfast. Tasters and help yourself facilities’.
‘We have regular drink round; residents can ask what they want when they want
it’.
‘We have a snack station’
‘We used to have activities coordinator but now we overstaff on care and utilise
staff. More people choose to go out’
‘We have organised trips. We have a bus and went to Walling’s ice cream recently’
‘We buy in some entertainers. Singer/bingo’
‘We have armchair exercise every other week’
‘We have a two weekly menu although residents do have choice. We have a
resident who is a vegan and x has absolute choice’
‘We tend to use pressure mats. To alert that residents are awake and moving’
‘We have a hairdresser that comes every week’
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‘We don’t have resident’s meetings, but we do have constant ad hoc
conversations’
‘The visiting optician is fantastic. Very dementia friendly’
‘We have a visiting chiropodist’
‘In terms of training we have an online training package. This includes basic
Dementia awareness. I teach dementia and challenging behaviour. I use case
studies to promote shared learning over the four homes’
‘We don’t currently hold a room for respite’
‘I’ve worked here for two years. It’s a relaxed workplace’.
‘Management are good and approachable. It’s a lovely place to work’
‘I have completed my online training for Dementia’
‘Once a month we go to the Ashley club and do singing for Dementia;
‘Our outings are sometimes pub lunches, or walks
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In Summary:
Haddon Court Care Home caters for thirty-three residents living with a Dementia diagnosis. The facility
is on three floors and equipped with a lift. We were informed by the owner that twenty-eight of the
bedrooms have en suite facilities and none of the residents are hoisted.
Feedback from residents who responded was good with residents stating ‘yes its very nice. I like
everything’, ‘I like it here’ and ‘my room is beautiful’.
Healthwatch representatives observed interaction between staff and residents. Feedback regarding
staff indicated some satisfaction ‘I’m looked after well’. Staff feedback was positive with a member
stating that ‘management are good and approachable’.
We were informed by the owner of the home that the staff carry out an online Dementia training
package alongside in house Dementia training.
Representatives observed the Environment with consideration to the Kings fund outcomes for the care
environment. Please see observation notes below: -
MEANINGFUL ACTIVITY
Representatives observed a games cupboard and book shelf.
Representatives have a drinks and snacks station.
Handrails and a garden were observed.
FAMILIARITY
Photographs were observed on the lounge wall of residents on outings.
The dining area was domestic scale and traditional crockery and cutlery was observed.
ORIENTATION
The staff wore pinafores and were visible to residents.
Dementia friendly door signs were visible downstairs in the building.
WAYFINDING
All signage on the doors downstairs contained both pictures and text.
Social spaces were clearly recognisable
Bedrooms were clearly identifiable and appeared personalised
Overall representatives have considered feedback and observations. It is believed that more could be done to
promote orientation and meaningful activity. Healthwatch representatives have agreed that:
- We may choose this home for a loved one with Dementia if some improvements were made
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Response from provider
Observations, resident, family and staff feedback that Healthwatch
Blackpool request the provider to respond to.
Observation
Detail/feedback
Care Home/management
response
Action to be undertaken if
any?
By when/ by
whom? Planned Activity (Page 5)
‘There was evidence of planned activity displayed on the board in the main corridor’ Resident feedback: ‘I don’t know if there are any activities’ Would the home consider pictures and text to inform residents of activities upcoming?
Clocks (Page 6)
‘There did not appear to be any Dementia friendly clocks in the social areas’
The home was given the opportunity to provide their own feedback.
Healthwatch Blackpool did not receive a written response but spoke to the manager of the home
to confirm that they were happy for the report to be published.
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Would the home consider Dementia friendly clocks date and time in the social spaces to encourage orientation?
Menu (Page 6)
‘Representatives did not observe a menu on display, however there was a Monday- Sunday board printed on the dining area wall’ Residents Feedback: ‘There’s no choice on the menu’. ‘I see something going about in the kitchen but I don’t know what it is’ Does the home usually display the menu for residents? If not, would the home consider this to promote choice and understanding at mealtimes? Can you advise if there is a choice at mealtimes?
Second Lounge (Page 7)
‘Representatives believed the TV unit to be low’
Garden Space (Page 7)
‘The space did not appear one that can be independently accessed’
Independent bathroom facilities (Page 8 -9)
‘The door did not appear to be a colour that contrasted the walls’ ‘It must be noted that representatives observed a resident attempting to locate the light switch for the second bathroom. The switch didn’t appear to be of a contrast to the wall so therefore may not be easily seen’
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‘The bathroom seat was white’ Would the home consider contrasting switches, toilet seats and door colours in shared bathrooms to promote easier access and clear facilities to see and use?
Assisted Bathroom (Page 9)
‘The flooring around the bath facilities to be worn’
Resident and staff feedback (Page 11-14)
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Appendix 1 - Kings Fund Supportive Care Environment for Dementia
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