Releasing Time to Care / Leading Better Care

Sharing Good Practice

NHS Board:

NHS Lanarkshire

Ward:

Ward 25 monklands hospital Airdrie, acute mental health

Details of Improvement:

Which module / programme is this case study about?

RTC Well organised ward

What was the particular problem that this case study is about?

Ward could be better organised

How was this identified?

Via RTC staff tracking/ activity follow

What were the implemented improvements?

RTC 5s, waste walk, before and after photographs.

All areas i.e. store cupboard have inventory sheet and audit stock each day made more clinical space i.e. changed function of a room and made another area for therapies, meetings etc.

What is the situation now?

.

More space for treatments and ordering is much easier and easy to keep within stock levels and everyone knows stock levels, easier cleaned due to excess stuff being removed.

How is the change sustainable?

Auditing after 5s rooms audit sheet is on back of door of each area and staff have to tick same when checked, ward manager can monitor it easily to see if audit is being carried out..function of rooms clearly marked, keeping newsletters for RTC current for staff, keeping board up to date, keeping meetings going…we have combined ward meeting with RTC meeting.Ward meeting always has RTC on agenda.

Standardising processes.

Measurable outcomes

What are the patient benefits?

Gathering information at present through patient satisfaction questionnaires

What are the staff benefits?

·  Ward is much tidier and I know where to finds things

·  Ward is cleaner

·  Don’t have to fight for a room to do therapies anymore

What are the organisational benefits?

.

Possibly less complaints re cleanliness of wards?

Staff seem happier (according to staff morale charts) since ward is better organised

How did staff feel before the improvement/during the improvement and after the improvement?

Before; improvement staff didn’t seem to care much about it, difficulty getting them on board etc

During: the improvement felt frustrated about things being moved around until they were labelled.

After: The improvement staff seem a bit happier with a more organised ward.

What are the lessons learnt and what would you do differently next time?

Probably not to let ward get into an unorganised mess again. Keep on top of things, audits etc. and the importance of standardising processes for staff. I would probably try to get as much staff as possible involved from the onset.this is really important!!

What plans are there to spread the improvement?

.

Regularly 5s rooms and do waste walk and staff tracking.

Communicate with colleagues re what we have done.

Contacts

Name / Email / Telephone number
Irene McCormick / Irene.mccormick@ lanarkshire.scot.nhs.uk / 01236 712070