Transforming Care welcome to the launch event

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Transforming Care storyboard
ABMU Mental Health Ward F Neath Port Talbot
Hospital Date 15/10/2013 Updated
25/11/2013 Updated 09/03/2014
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Unit summary and team members

• Dr Richard Annear Consultant
• Some of the team
• Ward F is a 21 bedded in patient unit for
  individuals between the age of 18 65
• Covers in patient care for Neath (Skewen,
  Bryncoch, Pontardawe) Port Talbot (Briton Ferry,
  Cymmer, Sandfields) and Ystradgynlais.
• 5 beds are allocated for patients normally
  admitted to Cefn Coed Hospital (out of area
  Swansea)
• 1 emergency CAMHS bed (16 years 18 years)
• S136 Suite attached to unit
• Ward Manager - Jayne Whitney, 2 Deputy Ward
  Managers, 14 Band 5 Staff Nurses, 10 HCSW, 1
  Activity Worker, 1 Occupational Therapist, 1
  Occupational Therapy Technician, 1 day a week
  Psychologist and 1 registered volunteer.

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WARD F MISSION STATEMENT Ward F provides
assessment and treatment for adults experiencing
acute mental health problems the ward promotes
person centred care that endorses therapeutic
engagement , rehabilitation and recovery.WARD F
PATIENT MISSION STATEMENT Ward F is a place
to come when you need help, to give you a break
from the stresses of life. It provides a safe
environment to battle your demons and supports
you physically and mentally through your journey
to recovery. It is a place where you are treated
equally, as individuals, and are empowered to
improve your own emotional wellbeing whilst being
treated with dignity and respectTHE WARD ETHOS
IS...........DO WITH, NOT FOR
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Ward vision
Open and honest communication along with mutual
respect and dignity
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Activity follow results
Direct care time - 62.3 - 3hours
outstanding Benchmark is 70 Interruptions 52
total / 4 per hour Distance walked 6423
Anything unusual to report? will be able to
establish When fully complete
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Information and community resources
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Information and community resources
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Before photos
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Know how we are doing?
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Recovery Champions of the Month
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Meals Individual Meal Planning

• Community Meetings with patients and
  questionnaires on the quality at meal times
• Individual Meal Planning
• Why?
• Recovery and choice loss of control in
  hospital, disempowerment, loss of hope to try
  and infuse some control, choice, empowerment,
  responsibility, normality.
• Engagement Positive engagement and developing
  the nurse/patient relationship at a time where
  this maybe compromised. Dialogue and engagement
  which is imperative when people maybe angry,
  distressed, fearful and lack of trust.
• Monitoring of nutritional needs Current climate
  whereby hospital nutrition is being scrutinized
  and the fundamentals of care in terms of good
  nutrition and recovery.
• Commencement August 2013 and piloted for 6 weeks
• Management of change followed information,
  education on why and how, followed by Ward
  Manager facilitating for 1 week to gain a base
  line of foreseeable difficulties and barriers.

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Individual Meal Planning

• BARRIERS CHANGE FOR PATIENTS AND STAFF
• High expressed anxiety...............
• Concerns that there would not be enough food?
• Hotel Services Staff Anxious about change
• Staff concerns for example....if people did not
  want to order
• So we................
• Overcome by positive reinforcement for the
  reasons outlined previously.
• Staff rota system on who took responsibility each
  day
• Emergency sandwiches ordered daily for any
  unforeseeable situations.

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Individual Meal planning running since October
2013 The Hotel Services Girls
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Asked for by our guests, chosen by our guests,
named by our guests and cared for by our
guestsMEET DORMA NEMO
WE HAVENT BEEN EATEN YET DORA
Going Strong Since July 2013
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Dragons Art Project
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Recovery Newsletter
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Support for Staff

• Reflective Practice Group
• Case formulation Group
• Debriefing Group following a difficult incident
• Training development (DBT Approaches)
• Group Supervision (To commence)
• Developing Special Interests/Link Nurses
• Ward Manager Completed Empowering Sisters
  Programme
• Transforming Care
• Encouraging creative thinking/compassion care
• Whole person/recovery concepts embedding in
  culture

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Things we do for whole life recovery

• Community Breakfasts (staff and guests)
• Community Meetings (patient experience)
• Recovery Champions guests vote informs
  care/motivates staff
• Information/education/medication/community
  resources/acorn directory (on greeting table)
• Transforming Care Project
• Family Room where families cook and eat
  together
• Peer support social outings, café, restaurant,
  beach trips
• Individual Meal Planning
• Themed evenings Italian/curry/American nights
• Seasonal Events Christmas (Christmas gift for
  every visitor)/Halloween Party/entertainment A3
  from BGT
• The Great Ward F Bake Off funds raised

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Continued

• Table Top Sales Raffles
• Volunteer Christmas Lunch on Christmas Day
• Pampering days feel good days
• Carer support evenings
• Coffee Evenings (Macmillan fund raising)
• Launch of Emotional Coping Strategy Group (DBT
  approaches)
• Dragons Art Project
• Every guest on their birthday has a celebration
  party
• Now have full time Activity Worker (37.5 out of
  numbers)
• Good networking with housing (Gofal)
• Feel Good Day with Acorn (funded by big lottery)

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Feel Good Day
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Things in development stages

• Recovery Star Groups
• Hearing Voices Group (already facilitate this in
  community)
• Self Esteem/Confidence building group
• Physical health, fitness wellbeing group (side
  effect profiling anti psychotic medication)
• Pet Therapy
• Self Harm Tool boxes
• Ward F and CMHT Whole life, Whole System
  Recovery learning sets
• Developing meaningful activity/links in
  community
• Gardening Group
• Yoga/Mindfulness
• Community Choir

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Your stay on Ward F and Discharge Patient Flow
leaflets
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What's next?