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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. Unit summary and team members. Dr Richard Annear – Consultant Some of the team
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Transforming Carestoryboard ABMU Mental Health Ward F – Neath Port Talbot Hospital Date : 15/10/2013 Updated: 25/11/2013 Updated: 09/03/2014
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.
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 respect”THE WARD ETHOS IS...........”DO WITH, NOT FOR”
High Standards of Care A safe, calm and reassuring environment Patients and their families can expect from Ward F Recovery focused and therapeutic activities Person centered approach through Care and Treatment Planning To be treated as an equal and empowered to improve your emotional wellbeing Education and information on mental health resources for patients, families and carers Ward vision Open and honest communication along with mutual respect and dignity
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
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.
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 reason’s outlined previously. • Staff rota system on who took responsibility each day • Emergency sandwiches ordered daily for any unforeseeable situations.
Individual Meal planning running since October 2013 The Hotel Services Girls
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
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 Interest’s/Link Nurses • Ward Manager – Completed Empowering Sister’s Programme • Transforming Care • Encouraging creative thinking/compassion care • Whole person/recovery concepts –embedding in culture
Things we do for whole life & recovery • Community Breakfasts (staff and guests) • Community Meetings (patient experience) • Recovery Champion’s 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
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) • Dragon’s 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)
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
