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Salford Royal NHS Foundation Trust

Salford Royal NHS Foundation Trust is an integrated provider of hospital, community and primary care services, including the University Teaching Hospital. Our team of 6,000 staff provide local services to the City of Salford and specialist services to Greater Manchester and beyond. We aim to be the safest organisation in the NHS through providing safe, clean and personal care to every patient, every time. We have an excellent track record; having the highest consistent rating for service quality coupled with one of the highest sets of patient and staff satisfaction scores.

Updated:
20 November 2014
Location:
North West
Sectors:
Health, Hospitals and Hospital Trusts
Local Alliances:
Salford Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists a number of outcomes that we are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

 At Salford Royal NHS Foundation Trust we are committed to our aim to be the safest NHS organisation in England and be the first choice care provider for our patients. 

Our key goals are to:

  • Reduce harm
  • Reduce mortality (deaths)
  • Improve patient experience
  • Provide reliable care.

In conjunction with our Quality Strategy, we have four core values which provide a focus for how our staff and volunteers work with each other and provide care for our patients

  • Patient and Customer Focus
  • Continuous Improvement
  • Accountability
  • Respect

 We think of our values as a set of guiding principles to refer to when making decisions and interacting with people and they help us to work together to continuously improve the organisation and ourselves.

Our commitment to delivering better outcomes for people with dementia is supported by:

  • A Trust Action Plan
  • Clearly identified leadership
  • Staff Training
  • Environmental improvements
  • Participation in the Royal College of Nursing Dementia development Programme
  • Integrated working with community, local authority and voluntary sector services
  • Dementia and delirium Quality Improvement Collaborative
  • Service user engagement

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

The challenges that we face in delivering improved outcomes include:

  • Consistently delivering dementia specific care across the organisation, which includes community services
  • Competing priorities/operational pressures
  • We are aware that the acute hospital environment may not always be supportive or enabling for people living with dementia, but a number of initiatives have been implemented to lessen this effect
  • The ability to share information between services

 

Member contacts

http://www.srft.nhs.uk/

2. Actions

  • Ensuring staff are skilled to care for people living with dementia

    Continue to deliver the face to face training programme accredited by the University of Manchester and encourage basic dementia awareness training via e-learning for all patients facing staff

    Status:
    Delivery

    2014 - Second Quarter Update

    Training continues to be delivered weekly and evaluates very well. To date this year we have trained 198 staff through our full day training programme and 308 staff have completed e-learning or basic dementia awareness sessions.

    2013- First Quarter Update

    Delivery: in excess of 600 staff, (including volunteers) have attended face to face training days and 1300 staff have completed basic awareness e-learning modules

  • Partnership working with carers

    We will identify opportunities to involve carers and service users in the development of services for people with dementia. An information booklet will be developed for patients and carers and the hospital passport will be provided and used to form the basis of care plans for people living with dementia.

    Status:
    Implementation

    2014 - Second Quarter Update

    The dementia information booklet is now available in wards and departments across the Trust. The use of the hospital passport has continued and provides invaluable information which supports more person centred care. We have also developed a dementia membership engagement group and those attending are helping us to shape approaches to care and improve the hospital environment

    2013: First Quarter Update

    Implementation: the patient passport is widely available across the hospital site and through the dementia and delirium collaborative, is now being adopted by Care Homes in Salford and the district nursing service so that residents admitted for a period of acute care bring information essential to their care plan needs. An information booklet has been developed and we are waiting for this from the printer.

  • Assessment and Early Identification

    People aged 65 years + admitted to Salford Royal Hospital will undergo a dementia screening process to support early identification and appropriate care

    Status:
    Delivered

    2014 - Second Quarter Update

    All patients admitted to Salford Royal Hospital are screened for memory difficulties. To date we have achieved the requirement of the national dementia cquin each quarter

    013- First Quarter Update

    A robust system has been developed to identify possible dementia in patients 65 years + admitted as emergency admissions. Where necessary mental assessment tests and further investigations are completed and the General Practice are alerted to findings so that people can be referred to the Memory Assessment Clinic

  • Person centred care

    Development of a care bundle through the dementia and delirium quality improvement collaborative to ensure that management of people with dementia is person centred and responsive to individual need. Focus will be placed on nutrition, comfort, continence, medicines management, activity and end of life care

    Status:
    Completed

    2014 - Second Quarter Update

    The dementia and delirium collaborative lead to the development of a dementia and delirium change package which was rolled out Trust wide in April 2014. Audit of the process has shown 95% compliance with the bundle.

    2013- First Quarter Update

    Delivery: Core care plans have been developed for people with dementia and delirium, which can then be personalised with information from the patient passport. Cognitive impairment is identified via a butterfly symbol used on patient at a glance boards and ID bands, prompting staff to familiarise themselves with the individual needs for patients and alert them to their vulnerability. Tests of change have been carried out in care of the elderly wards and have included senior support at meal times, as well as open visiting and relatives and carers being actively encouraged to be involved in care delivery. We are also working with Manchester University as part of a research study looking at pain and dementia.

  • Providing a hospital environment that supports independence and well-being

    Collaborative working with the Salford community and hospital Capital /Estates department to incorporate dementia friendly designs into estates work and small ward and department projects to provide a trust and community wide approach to a dementia friendly environment

    Status:
    Implementation

    2014 - Second Quarter Update

    Following a successful bid for environmental improvement monies we have been able to provide wards and departments with orientation boards, some of which are electronic; new signage; the lounge areas on the care of the elderly wards have been renovated and are a more homely environment and we have also developed a dementia courtyard.

    2013- First Quarter Update

    Implementation: Recent improvement work to the orthopaedic unit has incorporated a dementia friendly approach in design, with lighting that can be altered in intensity; block colours in bays; matt flooring and the nurses are now based in the bays after the removal of the nurses’ station. A collaborative bid has been submitted for environmental improvement monies to purchase signage which will be installed across the hospital, gateways and local authority care homes; purchase of orientation boards and clocks for hospital bays; redesign of day rooms in the care of the elderly wards and the development of a sensory garden.