Promoting a Culture Of Patient Safety And Security in Collaboration with Patients. SECURITY AND RECOVERY

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1 Promoting a Culture Of Patient Safety And Security in Collaboration with Patients. SECURITY AND RECOVERY

2 Security and Recovery Security provides the framework within which care and treatment can be safely provided. Patients and staff can t participate positively or purposefully in the activities of the service unless they feel safe first DOH Your guide to relational security, SEE, THINK, ACT by working with each other, with patients and carers we can provide the support that patients need, and generate a culture of hope and recovery Dame Christine Beasley- DOH Your guide to relational security, SEE, THINK, ACT

3 The Background May breach of physical security from within secure perimeter- 3 patients escape. September abscond of an MOJ restricted patient from dental trip. September attempted physical security breach from secure perimeter-successfully prevented by staff. Feedback from a number of groups and forums across the region that Security and Recovery were seen as mutually exclusive and could not fit together within our environments. Patient Safety and Security department were keen to include patients within security training and get a patients perspective to living in a secure environment as part of the recovery process.

4 Communication Competency, Awareness and Education Collaboration

5 Communication Various communication strategies. Marketing campaign with staff involvement-including security poster competitions. Security newsletter- monthly regional security newsletter for all staff, now combined Health and Safety. Security briefings- communicated via security mailbox, incidents, issues from all PIC sites. Lessons learned. Security Committees- established at all 3 North West sites with Security Champions. Rolling video show in main reception areas for visitors and relatives. Security Podcasts- working to establish on Synapse.

6 Security Champion Day

7 Competency, Awareness and Education Developed site specific security awareness incorporating SEE, THINK, ACT, with interactive methods. Introduction of security workbooks incorporating relational security competencies. Safety and Security launch days. Relational security explorer-standard agenda item in ward and departmental meetings.

8 Patient Safety and Security Road shows

9 Competency, Awareness and Education Introduced management checks. Introduced the 5 rules audit across North West. Developed a patient leaflet Security and YOU. Commenced with security drop in sessions for patients. Worked with carers and local community to raise awareness. Working with local businesses alongside OT department.

10 Collaboration Ensured that all staff had input into development of safety and security. Developed close working relationships with other disciplines. Increased involvement at patient council. Attendance at Carers/families groups, carers newsletter. Introduction of patient representative within Security training- Buisson Laing 2012 finalist. Developing interactive methods of imparting information to carers and patients.

11 The process A number of patients from each North West service were identified as suitable by MDT s to be able to participate within the security training. Staff from Patient Safety and Security and Occupational Therapy supported the patients in developing their own presentation for inclusion within training entitled Security and Me. Delivery commenced on a rolling programme at each site in January all 3 sites now have established patient Security representatives within refresher training courses.

12 Patients Perspective Content Who am I and why I am in secure care. What frustrates me about security. How security has helped and benefited me. My plans for the future. What you can do as staff to help. In 2012 this was extended to include patients presenting their own version of the security explorer from a patient perspective.

13 Security explorer and me Terry Fisher

14 Boundaries The core values for me is following the doctor and listening to him and following that program as your care pathway. The boundaries we have to understand or else you are going to relapse. Boundaries could also mean being violent, taking drugs, not listening to your family or doctor about your index offence, or just being a bad lad who feels he doesn t need any care, as I have made that mistake before. I learnt quite fast how to be and what to do and following the rules, that is why I moved on so fast, and rehabilitated myself and I am currently on Hindsford which is a low secure ward.

15 Therapy My therapy came from an array of things, one was to believe in what I was told, at first I wouldn t even talk to a psychologist because I knew better and I knew best. But gradually I came around, I have done a lot of courses and a lot of work, and believe in myself. I ve worked with psychologists of course, but it takes more than that to get better, your family and OT sessions, ward rounds, music, art, drama groups, even presentations in front of staff and visiting other hospitals to do our presentations. And last but not least take your medication, be positive in yourself, that is a very important quote. Take all the advice, do what you have learnt and you should be alright.

16 Patient mix It depends on what ward you are on, as each ward I found has its own character, and it also depends on how well mentally the patient is, as some might be aggressive and some just might be too ill. Some patients might be intimidated but it does depend on which ward you are on.

17 Patient dynamic When I came to Hesketh I was quite ill but as time went by I gradually got better and tried just being myself and adapt to my surroundings and the knowledge of people in general. Some people you like and other people might intimidate you, but I try and adapt. When I went onto Hulton a recovery ward I just concentrated on making myself food because then we shopped for ourselves and lived more normally. The patient dynamic changed and got easier, when I came onto the low secure setting it was less stressful and a lot more relaxed, its more spacious and everybody gets on with everybody else.

18 Personal world I don t think we talk enough about how the patient is feeling or how insecure a patient is feeling. The staff are always there to help situations and make sure the patient gets the right treatment. The patients are ill, but there is a nice ward environment happening on most wards, obviously some more equipped than others. There is pool and we also now have plasma televisions, I can t speak for all wards. You can generally feel as you know the patient when something is wrong because they get irate and agitated, but they get calmed down by the staff and the care goes on.

19 Physical environment As I have said before physical environments change, as everybody's care is different, the wards are really nice, and also the grounds on The Spinney. I feel more interaction could be put in place, but it is noted for the future. The staff try and have a connection with patients, and play pool and other stuff and mix in really well, but also they can be professional. The wards have a cleaner but cleanliness is always a number one priority and is adhered to all of the time.

20 Outward Connections I have changed since moving to here from prison, I don t believe in drugs any more and I understand more about my illness, I have done the relevant courses and achieved certificates, like drug misuse, psychology about my index offence, presentation certificates, relaxation courses outlining the seriousness of alcohol, and more courses and role plays about your body and what not to do if you may relapse. I also do art, presentations, drama groups, I have wrote songs and sang them as well at Easter which I enjoyed so much. Visits mum very important to me.

21 Visitors The visitors room I think has had a face lift since I last had a visit, the visitors are always instructed about leaving their personal belongings, and they are kept safe in a locker at reception and you also have to have the relevant identification as it is a hospital and you do not want any of the security breached. The patients understand the trust that is in place for them, we know not to go AWOL and abscond, as you go up in stages and build your blocks until you eventually leave the hospital. There are stages of grounds leave, then community and also home leave, those are your building blocks. Then when the doctor is ready or a Care Co-ordinator from outside is ready you can leave the hospital.

22 Any Questions?

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