Star Wards South Staffordshire & Shropshire Healthcare NHS Foundation Trust

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

7. 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

8. 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

9. 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

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