1. Welcome 6 month improvement journey of Jade Ward Main title slide page
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Welcome
6 month improvement journey of Jade Ward

2. Welcome Situation Low staff morale – staff leaving
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Situation
Welcome
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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

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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
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4. Welcome Benefits to patient and staff Main title for slide set
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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 %, 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
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6. Measurement Main title for slide set Optional sub title or name
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Measurement
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7. Staff feedback from June
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Update
Welcome
Staff feedback from June
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8. Welcome PDSA Testing Ramps for QI on Jade Ward
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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

9. Welcome Recommendations
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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
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10. Welcome “Leader by Leader model” Never become ‘just a manager’
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Key improvement message learnt
Welcome
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“Leader by Leader model”
Never become ‘just a manager’