Star Wards South Staffordshire

1
Star WardsSouth Staffordshire Shropshire
Healthcare NHS Foundation Trust

• Lisa Agell Senior Nurse
• Steven Hazeldine Clinical Audit

2
Initial Baseline

• Process
• All inpatient wards
• January 2007
• MD Team service users
• Issues
• Inconsistencies in data collection
• Different teams
• Lack of guidance
• Different disciplines / patient involvement
• Different tools (Forensic)
• Raised awareness/interest
• Lessons learnt

3
2nd Baseline Audit

• Standard audit tool
• Consistency
• Adapting questions to different ward environment
• Identify common themes
• Identify good practice
• Softer approach vs inspection
• Positive reaction from staff
• Vehicle for addressing issues / inconsistencies
• Involved service users

4
Measurement

• Not measuring compliance
• Able to demonstrate improvements
• Variety of ways of presenting
• Trust/Directorate/Teams

5
(No Transcript)
6
(No Transcript)
7
Good Practice

• Good access to media technology
• One-to-one sessions
• Queuing for medication
• Entertainment evenings
• Service users involved in recruitment
• Landmark
• Arts work Arts coordinator
• Therapeutic programme

8
Good Practice

• Physical exercises gym access
• Access to dieticians
• Psychologist group programme
• Protected time with nurses evening activity
• WRAP Forensic services Recovery Nurse
• Use of bank staff to free up nurse for activities
• Access to car for community activities

9
Recommendations

• Internet access for service users
• Physical exercise
• Roles within teams to provide activities (skill
  mix/culture/
• understanding/resources/inconsistency) -
  O/T and Activity co-ordinator
• Volunteers/community resources
• Recovery files
• Spirituality raising profile and links with
  church/community groups (led by chaplain)
• Art work

10
The Future.

• Feedback results to teams
• Develop action plans
• Roll out to Shropshire
• Re-audit
• Measure and demonstrate impact
• Benchmarking