aqua dementia improvement community update on dementia programmes & dignity/respect/environment

AQuA Dementia Improvement Community

Update on dementia programmes & Dignity/Respect/EnvironmentAudit Findings

Julie Cullen, Head of Mental Health and Long Term Conditions and Sue Hooton, Senior Improvement Advisor,

AQuAWednesday 12th December 2012

11:00 to 12:00

A celebration of those ‘light bulb moments’ that are transforming patient experience and care across the North West

Overview

Aims •To introduce the AQuA Dementia Challenge

•To provide latest improvement audit data against the targets we have set

•To update members on the full range of AQuA dementia related workstreams & products that are available to members

Improve patient

experience

Improve carer

experience

Reduce length of

stay

Reduce Readmissions-

Baseline measures

All Learn – All share results & best practice

Clinical Improvement

Re-assess

Dementia Improvement Community

Dignity & Respect /Patient Environment Standards Audit

• Total of 14 Organisations• 28 Wards audited• 124 patients/carers input• 24 scored questions• Maximum achievable score of 240• Scores ranging from 90 to 200

Dignity Champions - Information

March-12 Pass rate

Sep-12 Pass rate Increase

3.1 Patients and or their carers state that there are single sex facilities in place for sleeping and washing & bathing 100% 100% 0%

Single Sex Accommodation

Ward Environment

Minimising Moves

  March-12 Pass rate

Sep-12 Pass rate Increase

5.1 Hospital policy states that patients should not be moved 32% 54% 22%

5.2 Hospital policy states that if a move is required between wards it should not take place between 8pm and 8am. 32% 50% 18%

5.3 Were patients moved between these hours? 72% 79% 7%

Recreation

Dementia Identifier & Support Scheme

  March-12 Pass rate

Sep-12 Pass rate Increase

7.1 There is an agreed system in place across the hospital (with visual identifiers) so that staff are aware of the person’s dementia & specialist needs 68% 57% -11%

7.2 Is a specific dementia training programme in place for all staff? 88% 93% 5%

7.3 Is a specific dementia training programme in place for selected staff members? 68% 96% 28%

Training

The number of wards that passed with 100% training of all staff remained the same at 4, however due to an increased sample size the pass rate has dropped by 2%. It should be noted that the total number of staff as a whole that has had dementia specific training has improved by 13%.

Corporate Reporting

March-12 Pass

rate

Sep-12 Pass rate Increase

7.6 Is there a separate quality & safety reporting system in place for patients with dementia? 36% 36% 0%

7.7 Is there a specific question regarding dignity in the hospital patient experience questionnaire? 100% 96% -4%

7.8 Minimum scores for dignity in the hospital’s patient questionnaire is 90% or above in the month prior to the audit 88% 71% -17%

Environment & Estates

  March-12 Pass rate

Sep-12 Pass rate Increase

8.1 Is a senior member of the hospital Estates team involved with analysis of patient safety & experience data? 56% 89% 33%

8.2 All key communal areas within hospital used by people with dementia are identified and an action plan is in place to ensure their suitability for patients with dementia (to exclude A&E Depts).(measure = 100%) 16% 46% 30%

8.3 The organisation is engaged with a specific arts programme or an environmental design review programme such as The King’s Fund ‘Enhancing the Healing Environment’ 56% 54% -2%

Overall results by teamFor the first round of Audits

scores ranged from 60 to 200 with an average score of 115

For the second round of Audits scores ranged from 90 to 200 with an average score of 144

Overall results by team

Section SummaryMarch-12 Passrate

Sep-12 Passrate Increase

Dignity Champions – Information 27% 54% 27%Personalised Care Planning 16% 36% 20%Single Sex Accommodation - The organisation meets the DH Single sex accommodation standard 100% 100% 0%

Ward Environment 52% 52% 0%Minimising Moves 45% 61% 15%Recreation 28% 55% 27%Dementia Identifier & support Scheme (such as the Dementia Butterfly scheme) 66% 66% 0%

Environment & Estates 43% 63% 20%

Overall improvement 48% 60% 12%

Other Dementia Resources on the AQuA Members

Portal

A Good Practice Guide: Care Homes for People with Dementia

• This report looks at the strategic picture regarding the provision of health and social care to people with dementia in relation to care home provision

Related Programmes of work

• Integration Care Community• Advancing Quality• Rapid Assessment Interface and

Discharge (RAID)

• www.aquanw.nhs/users/sign_in • www.advancingqualityalliance.nhs.uk

julie.cullen@srft.nhs.uksue.hooton@srft.nhs.uk

Q&A