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Enhancing Inpatient Services: Clinical Audit for Improved Patient Care

This study conducted by the StarWards South Staffordshire & Shropshire Healthcare NHS Foundation Trust focuses on enhancing inpatient services through clinical audits with a softer approach to identify common themes and good practices. The audit involved service users, leading to positive staff reactions and addressing inconsistencies. Recommendations include internet access, physical exercise, and team roles for activities.

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Enhancing Inpatient Services: Clinical Audit for Improved Patient Care

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  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. 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

  6. 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

  7. 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

  8. The Future………. • Feedback results to teams • Develop action plans • Roll out to Shropshire • Re-audit • Measure and demonstrate impact • Benchmarking

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