Konar Suite – Older Peoples Acute Inpatient Services – Navigo – WInners – #OPMHAwards19 & #MHAwards19

Konar Suite is an 11 bedded acute inpatient assessment and treatment inpatient service having 7 organic, 4 functional beds and 1 private bed for a service user with Dementia and complex healthcare needs. We provide person centred care, addressing the holistic needs of the individual – physical, mental, emotional, and spiritual needs. Putting the service user at the heart of the care we deliver

Hours the service operates  24/7

www.navigocare.co.uk

WInners - #OPMHAwards19 & #MHAwards19

Co-Production

  • From start: Yes
  • During process: Yes
  • In evaluation: Yes

Evaluation

  • Peer: Yes
  • Academic: Yes
  • PP Collaborative: Yes

Find out more

Please briefly describe your project, group, team or service, outlining what you do and why it makes a difference.

Konar Suite is an 11 bedded acute inpatient assessment and treatment inpatient service having 7 organic, 4 functional beds and 1 private bed for a service user with Dementia and complex healthcare needs. We provide person centred care, addressing the holistic needs of the individual – physical, mental, emotional, and spiritual needs. Putting the service user at the heart of the care we deliver. We provide “OUTSTANDING” (CQC 2018) care that we are happy for our families to receive. Working closely with service users’ family when possible, engaging and informing them of every stepping service users’ journey. Provide safe, responsive and effective care through evidence-based practice. Working with the wider MDT to plan and support safe and effective assessment, treatment/intervention and discharge planning beginning on admission.

 

What makes your service stand out from others? Please provide an example of this.

Passion, Passion, Passion every member of the team is passionate about working on Konar Suite and elderly mental health care. We work as a whole team every member has a valuable contribution to make and building on each other’s strengths and skills and supporting all to develop new skills. We are proud of our choice to work in this specialism, implementing evidence-based practice, as well as learning from those in our care and their carers. We continue to strive to improve the care and service user experience, real person-centred care what we do. The environment is of exceptional quality, homely individual on-suite rooms, with facilities for carers to stay with their loved ones in some, large living and dining area, large garden with a pub and a newly installed outdoor gym as our service users are generally physically quite fit and we wish to maintain that as well as working as part of our restraint reduction plan. We have a sensory room, access to an electric bike. Our food is cooked on site, we have pictorial menu’s to help our service users choose, Fluid and food intake can be an issue in those with Dementia, we have access to food 24 hours a day, service users can make their own drinks whenever they wish. We operate protected meal times and staff on duty eat with service users at meal times, this encourages positive role modelling and normalises meal times. Carers can have meals with their loved ones whenever they wish We have a full range of activities available, including music therapy, reminiscence, mindfulness, Chair based exercise, Poetry to name a few.

Staff working on night duty wear pyjamas we have found that this encourages normal sleep for service users, and they are less likely to wish to remain up as “they have visitors”. We celebrate local and national events and weave these into the activities we provide, e.g. Easter. A weekly community meeting ensures the activities planned are appropriate to the current inpatients, once these are chosen the staff are allocated with the skills/interests to deliver the activities in Occupational therapy assistants We have a non-denominational spiritual person visiting the unit weekly and encourage service users to maintain contact with their church, religious community if they wish. We maintain crisis cover for the community at night working in partnership with other organisations in the locality to provide specialist support in the community either to individuals at home or in the care home sector.

How do you ensure an effective, safe, compassionate and sustainable workforce?

Our support staff come from different backgrounds, nationalities, ages and genders, we look for aiming and qualifications individuals who are passionate about care of older people who are kind and compassionate. Some have other skills and qualifications, e.g. gym instructor, musician, hairdresser. All support workers undertake the care certificate within an agreed time scale as well as statutory and mandatory training as directed by the organisation. They will also complete the ward stars programme and we are working towards the full Monty. Once these are complete and as part of the PDR process further training/development is identified, this can be Diploma in Healthcare, complimentary therapies such as Indian head massage. We have a robust preceptorship programme in place for newly qualified staff which is effective. The supervision and PDR process ensure each member of the team has a development plan in place and access to training. Formal clinical and managerial supervision occurs for each team member on a monthly basis, PDR are annual.

There are monthly team meetings for the whole team and separate ones for qualified staff and support workers also on a monthly basis. We have an annual team awayday. Formal clinical and managerial supervision occurs for each team member on a monthly basis, PDR are annual. There are monthly team meetings for the whole team and separate ones for qualified staff and support workers also on a monthly basis. We have an annual team awayday. If an issue of clinical practice occurs on the ward the manager requests a reflective account and this is discussed in a 1:1 supervision and lessons learned are then shared where appropriate with the wider staff team to improve practice. We have a welfare group who ensure each staff member receives a birthday card and present or flowers if they are poorly. We engage with the wider staff wellbeing initiatives across NAViGO Registered staff are supported to meet the requirements of revalidation.

 

Who is in your team?

Staffing levels on the acute admission suite are set to ensure that there will be the correct skill mix at all times to ensure safety for both clients and staff within the allocated budget. Skill mix is made up of Band 6 (2 x WTE) & (2 x 0.6 WTE) Band 5 (6 x WTE) & (3 x 0.6 WTE) Band 3 (1 x WTE) Band 2 (2 X 0.8 WTE), (2 x 0.6 WTE) & (11 X WTE) This is enhanced by Occupational Therapy input. Numbers of staff on duty may vary to accommodate service user needs and observation level. AMHMS Konar Suite (Acute In-patient Unit): Early Shifts = 2 qualified, 2 unqualified Staff Late Shifts = 2 qualified, 2 unqualified Staff Night Shifts = 2 qualified, 2 unqualified Staff 07.00 – 14.45 – Early 14.00 – 21.45 – Late 21.15 – 07.15 – Night There is Housekeeper provision to ensure correct ordering of stores, reporting of problems, auditing cleanliness etc. for The Gardens.

 

How do you work with the wider system?

We have shared Care protocols around assessment and diagnosis of Dementia, we are the specialised provider in the locality and tend to assess and treat those individuals with more complexities associated with Dementia either due to physical health complications or symptoms associated with BPSD. We work with the acute hospital discharge team to ensure discharge planning at the point of admission and reduced lengths of stay. The wider MDT includes specialised psychiatrists, psychologist, Occupational Therapists, Mental Health Pharmacist, Physiotherapy, Social Workers. We have excellent administrative support which releases time to care. We work with the wider independent sector to ensure the appropriate package of care is in place for the service user, this includes care provider agencies and 24 hour care specialised Dementia care providers. We work with other third sector providers helping to signpost service users to groups in the community which may help on discharge, this includes Konar suite staff supporting individuals to attend prior to discharge. E.G Age UK, Friendship at home.

 

Do you use co-production approaches?

NAViGO is known nationally for its co-production approach to everything we do, Konar Suite is no exception we continually develop creative ideas to engage service users and carers in the development and delivery of our service. We have worked with service users and carers on a recent project to introduce pictorial care plans with the aim of engaging those with Dementia in person centred care planning. We have carers leads among the team and have regular carers meetings as well as 1:1 contact with carers. We have weekly community meetings with our service users, we plan activities, discuss the meals, likes and dislikes, the way the ward operates e.g. seeing Doctors, 1:1 interventions.

 

Do you share your work with others? If so, please tell us how.

We regularly have visitors from other organisations and are more than happy to share our work. We are part of Positive practice network. AIMS Accreditation network We are part of the research network and are working towards publication

 

 

What outcome measures are collected, how do you use them and how do they demonstrate improvement?

Quality Report: Older Adults Services – Quarter 1, 2018-19 (available on request) This report aims to provide teams with an overview of Quality Indicators and actions in place to improve quality. • Konar suite – Extreme and high risk incidents • Konar Suite – Serious incidents, CQC, Safeguarding, Duty of Candour & RIDDOR • Konar Suite – Safety Thermometer • Konar Suite – Incident Analysis • Konar Suite – 7 day follow up • Konar Suite – re-admissions within 28 days • Konar Suite – WHISe • Konar Suite – Friends and Family Test (FFT) • Konar Suite – Compliments and Complaints

 

Has your service been evaluated (by peer or academic review)?

CQC Report – February 2018 https://www.cqc.org.uk/provider/1-177460793/reports AIMS Accreditation for Inpatient Services – AIMS-OP Research – University of Manchester/NAVIGO – Dementia Early Stage: Cognitive Aids – New Trial (DESCANT) – Royal College of Psychiatrists/University of Manchester FREE-COG – A novel, free to use, measure of combined cognitive and functional abilities for clinical use

 

How will you ensure that your service continues to deliver good mental health care?

We continue to develop our Older peoples service with many exciting projects coming to fruition within the next six months. A new complex care service for those individuals with any form of Dementia an BPSD, or complex physical and mental health conditions. These service users would have ben cared for out of area and following work done by NAViGO in adult services to bring individuals back to the locality for expensive out of area beds the focus has moved to older adults. We are re-providing the assessment beds for service users with functional mental health conditions and those with organic mental health conditions reviewing the pathway for those with functional mental health conditions and ensuring we adhere to evidence-based practice and that there is parity with those in adult services. The whole staff team are really excited to be part of the new projects and are welcoming new staff as well as supporting their development. The service managers are committed to this specialism and there are robust succession plans in place for further development at all Bands including access to external leadership curses as well as clinical based courses.

 

What aspects of your service would you share with people who want to learn from you?

The staff team had to expand to accommodate the new service, staff retired or obtained promotion, new team members are supported by allocated existing staff to ensure they settle in and quickly feel part of the team. We have difficult and challenging service users, we support each other ensure supervision takes place at regular intervals, make sure staff have time off. Working with service users and their families to resolve any issues in a timely way, the manager is always available to spend time with families it can be difficult accepting that a loved one needs 24 hour care for example. It has taken time and commitment for the investment to come to older peoples services we are committed to ensure it is invested wisely to provide a service we would be happy for a families to use.

 

What support do you offer families and carers? (where family/carers are not the service users)

  • Carers assessment • Admiral nursing • Carers support staff with weekly feedback following MDT. • Social worker links in with family to navigate future care • Signpost to carers support services

 

Commissioner and providers

Commissioned by (e.g. name of local authority, CCG, NHS England):  North East Lincolnshrie CCG

Provided by (e.g. name of NHS trust) or your organisation:  NAViGO Health and Social CIC

 

 

Population details

Brief description of population (e.g. urban, age, socioeconomic status):  North East Lincolnshire was created from the boroughs of Cleethorpes and Great Grimsby on 1 April 1996 with the abolition of Humberside. The area lies within the Parts of Lindsey, a historic subdivision of Lincolnshire.

Size of population and localities covered:  North East Lincolnshire Unitary District 157,979 159,616 159,826 Yorkshire and The Humber Region 4,964,833 5,283,733 5,450,130 Ashby cum Fenby Aylesby Barnoldby le Beck Beelsby Bradley Brigsley Cleethorpes East Ravendale Great Coates Grimsby Habrough Hatcliffe Healing Humberston Immingham Irby upon Humber Laceby Little Coates New Waltham Old Clee Scartho Stallingborough Waltham Weelsby Wold Newton

 

 

 

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