LIVINGSTONE ASHFORD UNIT BECCLES & DISTRICT WAR MEMORIAL HOSPITAL KAREN THOMSON TD RGN SERVICE MANAGER WAVENEY PRIMARY CARE TRUST
Jan 07, 2016
LIVINGSTONE ASHFORD UNITBECCLES & DISTRICT WAR MEMORIAL HOSPITAL
KAREN THOMSON TD RGN
SERVICE MANAGER
WAVENEY PRIMARY CARE TRUST
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
BECCLES
Beccles & District War Memorial Hospital
BUNGAY
HALESWORTH
Patrick Stead HospitalB1123
A12
A146
A144KESSINGLAND
WALBERSWICK
SOUTHWOLD
Southwold Hospital
LOWESTOFT
James Paget Hospital
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
In the three South Waveney Community Hospitals, during the financial year April 2000:
Majority of which result from insufficient,
suitable residential or nursing home vacancies
A monthly average of fourteen delayed
discharges
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
‘Step Down’ Beds for patients who:-
Identified as fit for discharge
No longer required specialist health care
input of medical staff, nurses or therapists
Awaiting discharge to a residential home or
their own home environment
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Enable and facilitate the resident to maximise their
independence with day to day living skills and personal care
What did we hope to achieve?
A reduction in numbers of delayed discharges
Length of stay would be 7 - 28 days
Residents final choice of destination made by forward planning
in consultation with resident, family members and Community
Social Care Assessor
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
A proposal between Local Health Partnerships NHS Trust and Suffolk Social Services
Resources were established
How did we go about it?
Staff recruitment commenced Nov/Dec 2000 Ward prepared for admissions Nov 2000
Plans for closure of unit 31.03.01 Nov 2000
Joint Health / Social Services specification Nov 2000
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Prior to the first admission staff had three days induction
involving Moving and Handling, Health & Safety, Health &
Hygiene
Service specifications communicated
to all Stakeholders Dec 2000
‘Step Down’ Facility Opens Jan 2001
Monitoring of service Jan - Mar 2001 Formal evaluation Feb - Mar 2001 Closure of facility 31st March 2001
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Established Practices
What helped?
Team Working
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002Produced by Eileen Whiting Innovation & Best Practice
Funding initially for three months over the winter period
Staff had to be recruited and selected for this period only
Extension of service short term
Implications for forward planning and specifying clear, set,
timely objectives and goals for the unit
Permanent funding
What hindered?
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Single sex occupancy, as it is a Nightingale style ward
What does the service offer? Social care, physical and mental stimulation in a homely
environment Reduction in number of delayed discharges in acute and
intermediate care beds Enhancement of joint working between James Paget
Hospital, Community Hospital and Social Services
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Time for reflection
What does the service offer?
Social care with health care
Medical care provided through general medical services.
Admissions through the Co-ordinator working in
partnership Removal from an ill health environment to a relaxed
homely environment
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Colourful murals throughout bathroom / toilet areas.
Self determination & choice regarding day to day living
A safe, non-rigid environment where resident is
empowered to participate in their days structure
A model which is furnished and decorated towards a
residential setting
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Key worker visits resident at home one month after discharge
A personal Key worker to monitor, review and consult
on ongoing care needs and development.
The opportunity to change pre made decisions
Families and carers encouraged to work alongside staff
Identification of adaptations and equipment that enables
maintaining independence with day to day living skills
The opportunity for planned trial periods within their
home environment, prior to discharge
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002Produced by Eileen Whiting Innovation & Best Practice
Proven evidence that staff who are encouraged and supported
develop rapidly as individuals and groups when empowered
Benefits to the organisation:
Releases beds hospitals for those who have nursing needs
Cost effective
User led service
A social model that sits well within a health setting
Promotes / maintains joint working and multi-disciplinary teams
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Formal evaluation completed 22nd - 31st
March 2002 - positive outcomes which
resulted in recurring of funds
What methods are used to evaluate?
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Questionnaires devised for both resident and immediate carer or family member
Question % Yes
% No % Unsure
Were you consulted on your discharge from hospital to the LAU? 70
30
-
Were you clear about the reason for your discharge from hospital to the LAU?
90
10
-
Were there any difficulties encountered in your discharge from hospital to the LAU?
-
100
-
Did you feel welcome and comfortable on arrival in the LAU? 90
-
10
Was the food service, choice and quality of food good? 78
2
20
Were you actively encouraged to participate in activities whilst a resident in the LAU
98
-
2
Were you consulted about the activities?
100
-
-
Did you feel like a (hospital) patient whilst in the LAU? -
90
10
Were you fully prepared for discharge from the LAU? 100
-
-
Were you consulted and informed on any decision about your stay or discharge plans?
100
-
-
Would you be prepared to become part of a residents group? (Focus Group)
22
48
40
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
Future Plans
To train and develop staff skills in rehabilitation and
re-ablement
NVQ qualifications in Health & Social Care
Maintain current high standards, strengthen joint working
and multi-disciplinary team approach to the Unit
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice
What lessons are there for others? Forward Planning with adequate time scales
Situation of the Unit
Transition from Health Environment
Livingstone Ashford UnitLivingstone Ashford UnitBeccles War Memorial Hospital
July 2002 Produced by Eileen Whiting Innovation & Best Practice