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Blandford Community Hospital: Dorset HealthCare University Foundation Trust

Dorset HealthCare provides a variety of community services both for Physical and Mental Health. There are 11 Community Hospitals that provide out-patient clinic's, Mental Health Services, Community Nursing Services and In-patient wards. These wards cater for step down patients from acute hospitals for rehabilitation following an acute illness/injury. Also have step up beds, so accepting patients direct from their home via community services or the GP. Many of these community hospitals excel in End of Life Care and are GSF accredited. Most of the Community Hospitals are accredited with the National Quality Mark - Elder Friendly Wards which assess how we deliver care to people with Dementia. All our staff are trained to Level 1 Dementia as a minimum and all our clinical staff have Level 2 Dementia training. Blandford Hospital is in the heart of Blandford and passionate about high standards of care and feel that much of what is taught as good practice for Dementia can be transferred across the board for many other patients.

Updated:
31 March 2019
Location:
South West
Sectors:
Hospitals and Hospital Trusts
Local Alliances:
Blandford Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA 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?

My organisation recognises the need to look beyond the diagnosis of dementia and we focus on delivering individualised, patient centred care.  All Community hospitals are part of John's Campaign as we recognise the importance of family and friends to our patients whilst they are in hospital.  As a Multi-Disciplinary Team (MDT) we prode ourselves on joint working with our patients and carers respecting their views and wishes, whlist supporting their choices, even if unwise!  The Community Hospitals have community mental health teams on site who work alongside the MDT and support with diagnosis and sympton control offering our teams this support & advice as required, like wise we support we support the mental health teams with physical health advice, creating a seamless holistic care package for the person and their family.  We are passionate about treating our patients and carers with dignity and respect which is one of the core values of the Trust.  These values are embedded within our recruitment and performance processes.

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

Committing staff to time out to attend courses and conferences, we will always have competing demands on the service but we do expect a minimum standard of knowledge and skills which is not negotiable so we do achieve this goal but it is not without its challenges.

2. Actions

  • To assess and evaluate the roll out of Johns Campaign

    This is a national campaign which all Community Hospitals including Blandford. This allows carers to support their loved one outstanding of hospital visiting hours, which provides a reassurance and consistancy for the pateint which is especially important in a unknown environment.  We monitor how many carers particpate in this campaign and how they evaluate this experience. 

    Status:
    Being implemented

    2018 - Third Quarter Update

    Campaign continues and does not just include patients with dementia, implemented well in practice.

    2018 - Second Quarter Update

    This campaign continues on our ward & has been well received by carers and loved ones.  This is now implemented in our practice.  

  • To monitor the use of This is Me document on the ward

    The This is Me document was introduced by the Alzheimer's Society and Royal College of Nursing but can be used for other patients as well.  This document provides staff with information about the patient to support whilst in hospital.

    Status:
    Being implemented
  • Monitoring of compliance following accreditation of the Quality Mark for Elder Friendly Wards

    Having been accredited with the Elder Friendly Ward, which is a quality improvement programme, we need to review our previous action plans and ensure we remain compliant.  Actions will include ward observation walk arounds and obtaining feedback from patients and relatives.

    Status:
    Implementation
  • To assess and evaluate the roll out of John's Campaign

    This is a national campaign for all community hospitals including Blandford.  This allows carers to support their loved one outside of hospital visiting hours, which provides reassurance and consistency for the patient, which is especially important in an unknown environment.  We monitor how many carers participate in this campaign and how they evaluate their experience.

    Status:
    Being implemented
  • Monitoring of complaince following accreditation of the Quality Mark for Elder Friendly Wards

    Having been accredited with the Elder Friendly Ward, which is a quality improvement programme, we need to review our previous action plans and ensure we reamin compliant.  Actions will include ward observation walk arounds and obtaining feedback from patients and relatives.

    Status:
    Implementation

    2018 - Third Quarter Update

    Matron continues to audit, visits from other Matrons have taken place as a peer review.

    2018 - Second Quarter Update

    Matron contiues to audit this through discussions with patients.Observational visits have also been made by the Director of Nursing,

  • To monitor the use of This is Me document on the ward

    The This is me document was produced by the Alzheimers Society and Royal College of Nursing but can be used for other patients as well.  This document provides staff on information about the patient to support whilst in an unfamiliar place.  It is completed by family/carers & allows greater understanding of the patient as it allows information to be shared about the patient in more detail so care provided on a personal level.

    Status:
    Being implemented

    2018 - Third Quarter Update

    Tis is me is continues to be used within the ward, promotes personalised patient centred care which is so important

    2018 - Second Quarter Update

    This is me continues to used within the ward and is so useful to ensure that the patients wishes are met and important for loved ones and carers to feel part of hospital admission process.