Page 15 - Calderstone AR 2015

Calderstones Partnership NHS Foundation Trust 15 Yearbook 2014 - 2015
• Improving physical healthcare
• Cultural barometer of patient safety The Trust achieved the indicators in
2014/2015 and received the payment of £877,000
In December 2014 the Trust received the Care Quality Commission’s (CQC) report about their inspection of Calderstones Partnership NHS Foundation Trust held in July 2014. The CQC also raised a number of concerns with regards to:
• Staffing
• Cleanliness and infection control
• The extent of the use of restraint
• Medicine management
• Administration of the Mental
Health Act
A major programme of work is underway to address the concerns and learn from the positive and safe practice found by the 2014 CQC Inspection:
• Live information about ward
environments are now available entering each area, with staffing and other data now clearly displayed for those entering the location.
• The Director of Operations has completed an in depth staffing review.
• A Programme Director has been appointed to lead on Positive and Safe at Calderstones. This is already showing significant reductions in the use of restraint and restriction position in the organisation.
• A senior team managed the closure of one of the oldest parts of the site, Chestnut Drive, and this was completed in January 2015. High quality refurbished accommodation is now in place for the people that use that service.
• A senior consultant nurse approved clinician has been appointed as associate medical director, with extensive regional experience, running degree courses at St Martin’s and with particular expertise in mental health. The Trust’s clinical director will take charge of infection control and medicines management.
However, the CQC reported that “the great majority of people” at Calderstones are treated “kindly and respectfully” and had good access to advocacy services who support them, people have good access to interpreting services and faith needs, and that senior leadership are visible to front line staff.
The results following the Staff Survey for 2014 have been communicated across the Trust. The Human Resource Team have compiled action plans regarding the key issues resulting from the service and will be distributing a ‘You Said We Did’ newsletter to all
staff regarding the improvements implemented following the survey. The results of the staff survey for 2014 and future actions are detailed within the Annual Report.
The Clinical Quality Strategy 2013-2018 drives quality improvement across the Trust, and the Quality Account is a key tool in delivering that quality agenda. Service user and family/carer feedback has influenced a number of projects undertaken in 2014/2015, and these are outlined in section 3.1 of the Quality Account. These include:
• Organisational Learning - There have been two key events focusing upon a family members experience of the safeguarding process and the service user perspective of restrictive interventions.
• The Service User’s Perspective on the Impact and Outcomes from Crisis Management – This is an ongoing initiative to obtain the service user’s perspective on the impact and outcomes from crisis management using high risk practices, which include physical intervention, seclusion and rapid tranquillisation; using this information to inform and improve the service user’s outcomes and experience.
The Trust has also reviewed how it supports service users living in Individual Packages of Care and how it trains and develops the staff working with these people with highly complex needs. This has included increasing the number of registered nurses working directly with Individual Packages of Care.
With continued focus upon the “Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry”
(“The Francis Report”) during 2014/2015, the Trust continues with its Service User and Governor-led Complaints Review Group, highlighted as good practice by the CQC.
In addition, we improved customer care services to support the early resolution of concerns from service users, families and carers.
Listening to service users’ views is essential to providing person-centred services. The Trust has developed a set of metrics to measure service user experience and respond accordingly to their needs. Specific information on the metrics is within Section 3.2.2
(Patient Experience) of the Quality Account 2014/2015.