Are They Safe?
Our committed and enthusiastic staff are continually looking at ways to improve patient care. One of the outcomes that we are aiming for is to ensure that people have a great experience of our services and one of the ways that we will achieve this is by sharing our skills and knowledge in the organisation.
The Trust is delighted to share some of the innovative ideas being practiced around the Trust.
Improving Health & Lives (HaL)
Susan Guthrie, Specialist Speech and Language therapist (SLT), was invited to speak at the recent national Improving Health and Lives (IHaL) conference in Manchester sharing good practice from a project run jointly between SLTs in Calderstones and the Adult Community Network, LSCFT.
The topic of the conference was 'avoidable admissions' which relates closely to swallowing problems (dysphagia) and respiratory conditions/premature death in adults with learning disabilities. SLTs have run staff training, implemented screening for choking risk, and supported people who have experienced choking incidents. As a result, general awareness has improved, and frequency and severity of choking in adults with learning disabilities and mental illness has reduced at Calderstones
Women’s Service – Guild Lodge
The Women’s service has recently undergone a period of change with the opening of Fellside East low secure ward on the 25th July 2016. This development has brought clarity around the care pathway for women and has ensured that women are being cared for in the least restrictive environment.
All care within the Women’s Service continues to be directed by our bespoke model and philosophy of care, informed by national guidance on gender-informed and trauma informed services.
As a service we:
- Expect, validate, and respect different experiences and opinions
- Recognise inequalities in social, political, and economic opportunities
- See the women we meet as survivors of adversity as well at times being perpetrators of harm to self/others
- Work collaboratively with the women and promote opportunities for a woman to empower herself and take control
- Aim to offer each woman the opportunity to develop a safe, effective, and meaningful understanding of herself, her relationships, and her behaviour
- Nurture a sense of control, trust and self-esteem in each woman’s life
- Recognise the importance of past trauma and important ‘attachment’ relationships in how individuals learn to express themselves
- Value social, psychological and biological ways of understanding human experiences
Fellside Ward – Guild Lodge
Fellside is a men’s step down ward in a state of the art building on the edge of Guild Park. It has a recovery based ethos which promotes multi-disciplinary and service user led care in a friendly and relaxed environment. Each service user has a stepped pathway which informs them of their ultimate goal, whilst breaking up the tasks into six parts to ensure realistic and measurable outcomes. The model has proven very successful, with high levels of satisfaction and involvement from service users and a largely predictable length of stay and successful discharge record (8 men discharged from secure services in the past 12 months).
Community Rehab Central
Falls Steady On Project in conjunction with Lancashire County Council (LCC).
This was nominated and has won (July 2016) the Patient Safety Congress Award HSJ in partnership with Lancashire County Council - Preventing Avoidable Harm.
For the Steady On Project the Central Lancashire falls team are now in the 3rd Quarter and the quality of life questionnaire and results have been reviewed and show positive findings.
LCC have been linking with Lancashire Fire and Rescue and the planned safe and well visits. It is likely that the Steady On project team members will work with Lancashire Fire and Rescue Service in order to train them in how to complete a Steady On assessment during their home visits. This is excellent evidence of collaborative working
Community Mental Health Team North
An Assistant Practitioner within the team has developed partnership working with the police to make it safer for people with dementia to follow well-established patterns of going out without unnecessary and unhelpful interventions. The ‘Safer Wandering Scheme’ has established a protocol for sharing information with the police that enables them to respond appropriately to concerns from the public. This is now being linked to the Guardian Angels technology that is being rolled out across Lancashire. The scheme was shortlisted in the international dementia awards and won the patient quality award in LSCFT staff awards.
We have been acknowledged for our work on the instigation of a hypoglycemia pathway which was launched last year.
It was aimed at reducing the risk of repeated hypoglycemic events through early intervention and through working collaboratively with the North West Ambulance service. An audit of this work helped us to identify that the elderly were the most frequently affected and we have been able to work with GPs and practice nurses during their protected education time sessions to identify those people at risk of hypoglycemia in their elderly practice population and review their treatment to reduce this unnecessary risk.