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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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”
Ward vision
Open and
honest
communication
along with
mutual respect
and dignity
Recovery
focused and
therapeutic
activities
High
Standards of
Care
A safe, calm
and
reassuring
environment
Person
centered
approach
through Care
and
Treatment
Planning
Patients and their
families can expect
from Ward F
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
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
Information and community resources
Information and community resources
‘Before’ photos
Know how we are doing?
Recovery Champions of the Month
Meals – Individual Meal Planning
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1.
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.
2. 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.
3. 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 guests
MEET DORMA & NEMO
WE
HAVENT
BEEN
EATEN
YET
DORA
Going Strong Since July 2013
Dragon’s Art Project
Recovery Newsletter
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
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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
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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)
Feel Good Day
Things in development stages
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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
Your stay on Ward F and Discharge –
Patient Flow leaflets
What's next?