Welcome 6 month improvement journey of Jade Ward Main title slide page Co-brand logo here Welcome 6 month improvement journey of Jade Ward

Welcome Situation Low staff morale – staff leaving Co-brand logo here Situation Welcome Main title for slide set Optional sub title or name Low staff morale – staff leaving Poor risk management High medication omission rates High incident rate, Lack of leadership and role modelling High staff sickness Lack of training / poor training compliance Low supervision High length of stay for patients High agency usage / high vacancy rates High observation levels

Co-brand logo here Background Welcome When I first walked on the ward in September 2016 I thought that the it should be closed as I felt it was unsafe for patients We set up mini morning MDTs to improve teamwork and communication on the ward Main title for slide set Optional sub title or name

Welcome Benefits to patient and staff Main title for slide set Co-brand logo here Benefits to patient and staff Welcome Patients Length of stay has decreased from 41 to 21 days Feedback Fridays now in place and acted upon Patient co-production in art projects, twitter ‘quotes of the day’, hospital blog Medication omissions decreased from 37 in September 16 to 6 in March 17 Carer involvement improved. Carers Appreciation Day in June 17 Daily patient morning meetings Staff Supervision now at 95-100 %, staff feel more supported and listened too Fully recruited to HCAs and recruited 5 RMNs Weekly bitesize training and staff meeting Monthly risk huddles Monthly Serious Incident learning lessons forum Matron & Ward Manager work a shift on the ward each week Audits completed by ward staff not management so take ownership of work Main title for slide set Optional sub title or name

Measurement Main title for slide set Optional sub title or name Co-brand logo here Measurement Main title for slide set Optional sub title or name

Staff feedback from June Co-brand logo here Update Welcome Staff feedback from June Main title for slide set Optional sub title or name

Welcome PDSA Testing Ramps for QI on Jade Ward Main title for slide set Optional sub title or name A P S D DATA FEEDBACK TO FRONTLINE STAFF 1E: Communicated improvement and plans through staff and patient meetings, involving carers, twitter account Cycle 1D: Created recruitment plan Cycle 1C: medication omissions Cycle 1B: shortlisted and interviewed agency staff for full-time regular hours Cycle 1A: - regular supervision put in place

Welcome Recommendations Co-brand logo here Recommendations Welcome Culture change, staff morale, buy in from staff to new management and ideas. Ward Away day with staff being asked to reflect on where they were 6 months ago, where they are now and where they want to be. Staff were difficult to engage at first as they had never been asked where they wanted to be in the future. Role modelling and office open door policy is very powerful for both staff and patients. Let you staff and patients see you on the floor and know you are accessible Main title for slide set Optional sub title or name

Welcome “Leader by Leader model” Never become ‘just a manager’ Co-brand logo here Key improvement message learnt Welcome Main title for slide set Optional sub title or name “Leader by Leader model” Never become ‘just a manager’