Friends and Family Survey | Healthwatch North East Lincolnshire

Friends & Family Survey Care Homes

Healthwatch North East Lincolnshire is the independent voice for the people of North East Lincolnshire helping to shape, challenge and improve local health and social care services. Every local Healthwatch across the country has a legal responsibility to carry out an Enter and View programme. Enter and View is not an inspection and our team are not inspectors like the Care Quality Commission. The Enter and View activity for Healthwatch North East Lincolnshire involves visiting any publicly funded health and social care service in the region, so that we can see what is going on and to talk to service users, their relatives and carers, as well as staff.

We are charged with collating the views and experiences of the people receiving care, friends and relatives. If you would like your views to count as part of this process or to share your views at any time with regards to any Care/Residential or Nursing Home, please complete the following survey It would be extremely helpful if you would answer the questions below and return the completed survey to a Healthwatch representative on the day of our visit or post back to us at our freepost address. This will assist us in having a better understanding of the service.

It will also ensure that we hold the most up-to-date and accurate information possible. All responses are recorded and collated anonymously. If you require any further copies please contact using the contact details at the end of the survey.

Name of Care Home

Please tick which best describes your friend/relatives current living circumstance:(Required)

Living permanently within the home

Respite care

Rehabilitation

Day visit

Other

What rating would you give this Care Home?(Required)

How long has you friend or family member lived at this particluar care Home?(Required)

0-6 months	7-12 months	1-2 years	2+ years

Why did you choose this Care Home?(Required)

Living Space(Required)

	Yes	No	N/A
Is the Care Home clean/ is there a standard of cleanliness?
Is there any malodour (unpleasant smells)?
Do you consider it a safe environment?
Do you feel that the environment is easy to navigate?
Is your friend/relatives bedroom personalised and to their liking?
Do you feel that the home promotes a dementia friendly environment for those residents living with Dementia?
Do you feel that the Home promotes a positive environment for those residents living with Learning Disabilities?

Do you have any other comments or concerns with regards to the general environment within the home?

Communication(Required)

	Yes	No	N/A
Do residents have access to the services they need? e.g. Dentists, Podiatrists, Opticians, Nurses etc.
Do you feel that staff effectively communicate with residents and help/let them make their own decisions?
Do you feel staff allow and encourage residents to keep to their own routine where possible and allow time for this?
Are concerns dealt with promptly?
Do you feel well informed/updated about all aspects of your relative's care?

What do you feel is or isn't working well within this home?(Required)

	Yes	No
Do you feel that your views are listened to?
Would you feel comfortable sharing your views or making a complaint, if you needed to?
Do residents speak positively about the management?
Are you happy with the management/leadership?

If not, why not?

Individual Needs(Required)

	Yes	No
Are you happy with the care provided?
Do you feel interactions between residents and staff are positive & friendly?
Are social events regularly offered?
Are friends & family members able to attend social events and meetings?
Do you feel that your friends & Family cultural and spiritual needs are met?

Is there anything else you would like to see provided?

Do you feel resident's requests are fulfilled? Please tick all that apply

Diets and Fluids

Activities

Health

Days out

Friends and relative visits

Personal

other

	Yes	No
Are you aware that your friend/relative has a Care plan?
Are you aware that care plans are regularly reviewed and revised or adapted?
Are you involved in this process?
Are you aware if your friend/relative has an end of life care plan in place?

Would you like to make any other comments with regards to the home?

Basic Demographics

Healthwatch collects demographic data which is used to generate insights and understand health inequalities, including challenges some groups face in accessing health and social care services.

As part of your experience, we would like you to provide some basic demographic data below to help us in our mission to improve local services.

What is your age range?(Required)

What is your ethnicity?(Required)

What is your gender?(Required)

Are you or do you consider yourself to be disabled?(Required)

Yes

Do you or do you consider yourself to have a long-term condition?(Required)

Yes

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Thank you for completing the above demographic questions.

We do also record more detailed demographic information which will help us further, however this is completely optional.

Would you like to provide any further demographic information?(Required)

Yes

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Please can you tell us your nationality?

Is your gender identity the same as recorded at birth?

What is your sexual orientation?

What is your religion or belief?

What is your marital and civil partnership status?

If you are currently pregnant or have recently given birth, please select if any of the following apply:

Currently pregnant

Currently breastfeeding

Given birth in the last 26 weeks

Would you consider yourself to be from a seldom-heard group or community?

The term 'seldom-heard groups' refers to under-represented people who use or might potentially use health or social services and who are less likely to be heard by these service professionals and decision-makers.

Yes

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If they select that they have a disability

You told us previously that you are or consider yourself to be disabled.

Please could you be able to tell us what type of disability you have?

You can select more than one

Physical or mobility impairment

Sensory impairment

Learning disability or difficulties

Mental health condition

Long term condition

Other

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If they select that they have a long-term condition

You told us previously that you are or consider yourself to be disabled.

Please could you be able to tell us what type of long-term condition you have?

You can select more than one

Contacting You

Do you want to be contacted by Healthwatch about your experience?(Required)

Yes

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Contact Details

Please tell us your name(Required)

Telephone Number

Email Address

If you want to be contacted by letter, please provide your address below