Community based quality improvements

Includes examples of QI projects related directly to care in the community setting (including community hospitals, nursing homes etc) from all disciplines and services.

A family for me? (1.1 MiB)
Upload Date: 2nd July 2019 Downloads: 118
Aim: There are currently 9 children placed outside their community of origin. The Trust are aiming to attract skilled carers that could provide a family home for three of these young people in 19/20 (with 1 being return by Sept 2019) and bring about positive change in their lives now and, as they grow into adults.


Accessing Information and Waiting Areas within Mental Health Services (0.5 MiB)
Upload Date: 8th October 2018 Downloads: 189
Aim:


Achieving A High Uptake For Influenza Vaccination In Primary School C . (4.9 MiB)
Upload Date: 8th August 2019 Downloads: 29
Aim: To considerably lower the public health impact of flu by providing both direct protection to children and indirect protection by lowering flu transmission in the community.


Achieving A High Uptake For Influenza Vaccination In Primary School C .. (4.9 MiB)
Upload Date: 6th August 2019 Downloads: 29
Aim:


Ambulance Daily Occurrence Log (ADOL) (0.6 MiB)
Upload Date: 15th August 2018 Downloads: 173
Aim: We aim to increase the occasions when Managers take action Daily as a result of the Daily Occurrences by 20% by end of Q2 2018.


Appointment Card Introduction At Mullinure Day Unit (0.2 MiB)
Upload Date: 8th March 2018 Downloads: 181
Aim: To improve the quality of the experience for clients and families participating in a rehabilitation programme at Mullinure Day unit


ASD And ADHA Pre-diagnositc Assessment (0.4 MiB)
Upload Date: 29th August 2019 Downloads: 11
Aim: Reducing the anxiety levels in children waiting for child assessment as part of their ASD diagnostic assessment by 5% by August 2019. 90% of families surveyed will report positive views of the interactive pet project.


Behavioural family therapy in acute community mental health services (0.4 MiB)
Upload Date: 26th July 2018 Downloads: 103
Aim: To provide behavioural family therapy based on the Meridan Programme, implemented throughout acute mental health services improving access for all families and service users.


Behavioural Family Therapy in Mental Health Acute Community Services (0.4 MiB)
Upload Date: 19th February 2019 Downloads: 78
Aim: INCREASE UNDERSTANDING OF THE MENTAL HEALTH PROBLEM, THE IMPACT FOR ALL WHILE FACILITATING SKILLS FOR MOVING FORWARD

 


Beyond Diagnosis - Co-produced Team Formulations In The Early Intervention Team (EIT) (0.3 MiB)
Upload Date: 16th April 2019 Downloads: 129
Aim: 60% of all new referrals to be formulated by 12 weeks of being accepted onto EIT caseload (RCP Guidelines 2016)


Breast Care Early Supported Discharge (ESD) Pathway (IQI 2019) V1 (2.5 MiB)
Upload Date: 26th February 2019 Downloads: 164
Aim:


Breast Return -Breastfeeding Peer Support Data Improvement Project (0.7 MiB)
Upload Date: 13th November 2018 Downloads: 90
Aim: To increase breastfeeding peer support volunteer contact data returns by 50% by the end of June 2018


Caseload Excel For Social Work Data Returns (2.9 MiB)
Upload Date: 17th June 2019 Downloads: 70
Aim: Development and implementation of an excel tool to capture data in a single shared access place


Ceara Gallagher - Community (1.2 MiB)
Upload Date: 18th October 2019 Downloads: 11
Aim: This Collaboration Project seeks to develop the NOR PSN Service. We
aim to do this initially by supporting. Designated CAs to feel confident as
our Therapy Partners through; Training, IInformation Sharing
Co Working


Choose To Lose (1.3 MiB)
Upload Date: 29th August 2019 Downloads: 13
Aim: Our aim was to enhance and improve the health of clients with learning disability by getting more active and helping reduce BMI through a co-produced 12 week weight loss programme.


CLEAR Dementia Care (0.2 MiB)
Upload Date: 7th March 2018 Downloads: 141
Aim: Tool to help caregivers understand and manage behaviour in people with dementia


CLEAR Dementia Care Understanding Behavioural And Psychological Symptoms (1.2 MiB)
Upload Date: 26th February 2019 Downloads: 112
Aim: CLEAR Dementia Care won the 'Innovation of the Year' at the Alzheimer's Society Friendly Awards 2016


Community First Responders (1.0 MiB)
Upload Date: 10th June 2019 Downloads: 115
Aim:

To improve the % completion of community first responder patient report forms from a median of 57% to 75% by April 2019


 


Community Occupational Therapy Drop-in Clinic (0.4 MiB)
Upload Date: 2nd July 2019 Downloads: 155
Aim: Reduce the number of days a client spends on the community OT waiting list for low level assessment by 25% by September 2019


Community Occupational Therapy Drop-in Clinic (0.4 MiB)
Upload Date: 23rd July 2019 Downloads: 20
Aim: Reduce the number of days a client spends on the Community Occupational Therapy waiting list for low level assessment by 25% by September 2019


Connected - Leaving Care After Carer Service (0.4 MiB)
Upload Date: 13th November 2018 Downloads: 205
Aim: To set up CONNECTED forum as part of the LCAC service to provide young people the opportunity to express views. Three young people to be on board in the CONNECTED forum by 6th July 2018, for this to be increased to 5 young people by August 2018 and 10 young people by September 2018.


Continuous Observation Of Patients In Community Hospitals (6.2 MiB)
Upload Date: 11th May 2018 Downloads: 169
Aim: Development of a continuous observation policy and reduction in number of un-witnessed falls for patients who are assessed as requiring continuous supervision


Coproduction - Orientation in Mental Health Services SHSCT (0.7 MiB)
Upload Date: 8th October 2018 Downloads: 88
Aim:


Creating A Person-Centred Care Environment For Patients With Dementia Within An Acute Care Ward (IQI 2019) [Final Version] (2.0 MiB)
Upload Date: 26th February 2019 Downloads: 69
Aim: To enhance person-centred care and experience for patients living with a Dementia in the acute care environment through the introduction of the Companion Role


Daily Day-Care Progress Notes (0.6 MiB)
Upload Date: 19th December 2018 Downloads: 115
Aim: This project has provided the following benefits to both the service users and the Organisation:
Less time spent on recording information, a higher quality of entries due to better knowledge of the objectives and needs of service users as the document is much more person-centred.
Information is better organised and staff can easily identify patterns in behaviours, progress on objectives, health care needs and areas for further development. There is also less duplication of work which enables staff to spend more time working with service users.


Day Opportunities Service - Magherafelt, Cookstown And Antrim (IQI 2019) [Final Version] (8.1 MiB)
Upload Date: 26th February 2019 Downloads: 134
Aim: Project to promote an awareness of good mental health by addressing issues around the emotional wellbeing of adults with learning disabilities through Drama and Creative Arts


Developing An Integrated Healthcare Plan At Woodlands (0.5 MiB)
Upload Date: 29th August 2019 Downloads: 10
Aim: Introduction of an Integrated Health Care Plan (IHCP) for young people within Woodlands open to In Reach CAMHS to meet 80% of standards..


Developing skilled communicative partners for children with SLD (0.5 MiB)
Upload Date: 12th March 2019 Downloads: 139
Aim: To improve the communication environment within mainstream schools for children with SLD.


EPIC Evaluation Of Palpitations In The Community (0.2 MiB)
Upload Date: 8th March 2018 Downloads: 117
Aim: A rapid diagnostic pathway for patients presenting to GP with new onset arrhythmia


Establishing A Choir As A Unique Support Network For People Who Stammer In Northern Ireland (2.4 MiB)
Upload Date: 11th May 2018 Downloads: 132
Aim: To reduce pressure on the Health Service by building capacity in the community.


Fan-Task-Tic (0.5 MiB)
Upload Date: 16th April 2019 Downloads: 70
Aim: To update 90% of GPs and other professionals working with our clients within 48 hours by April 2019


Food First In Focus (2.2 MiB)
Upload Date: 13th November 2018 Downloads: 184
Aim: To reduce referrals to the Community Nutrition Support Team from Our Lady’s Nursing Home by 50% by June 2018


Hard to Swallow (0.4 MiB)
Upload Date: 10th June 2019 Downloads: 149
Aim: 80% of staff within Pilot school will know how to appropriately refer pupils for an EDS Assessment by June 2019.


Hard To Swallow (0.4 MiB)
Upload Date: 29th August 2019 Downloads: 16
Aim: 80% of staff within Pilot school will know how to appropriately refer pupils


Implementing SOPS within the Care Home Support Team office based environment (0.8 MiB)
Upload Date: 26th November 2018 Downloads: 82
Aim: Implementing SOPS within the Care Home Support Team office based is important because it will reduce variation within the team and harmonise practice.
It will also act as manual for staff if admin aren't available to carry out tasks it will give staff guidelines.


Improve Delegation Of Tasks To Rehab Assistants (1.3 MiB)
Upload Date: 29th August 2019 Downloads: 9
Aim: To increase satisfaction rates with new delegation method to 70% across the team by September 2019.


Improve Service User Experience/Quality Of Annual Nursing & Residential Care (0.2 MiB)
Upload Date: 13th February 2018 Downloads: 146
Aim: Improve compliance with Care Management Standards regarding annual care reviews to 80% by September 2016


Improved Internal Meetings for staff on the Positive Directions Programme (1.1 MiB)
Upload Date: 8th October 2018 Downloads: 124
Aim:


Improved Physio For Shoulder Pain Patients (0.3 MiB)
Upload Date: 8th March 2018 Downloads: 191
Aim: Improved intervention for patients with shoulder pain referred for physiotherapy


Improvement in Incident Reporting (0.4 MiB)
Upload Date: 26th July 2018 Downloads: 67
Aim: To implement online incident reporting (DATIXWeb) in order to increase incident reporting levels by March 2018 across the entire region


Improving Experience & Outcomes For Families (0.2 MiB)
Upload Date: 13th February 2018 Downloads: 165
Aim: Increasing face to face time with families to 60% when preparing for case planning to improve service user experience


Improving Preparation For Young People’s Independence in Leaving Residential Care Through Access To Critical Documentation (0.6 MiB)
Upload Date: 12th March 2019 Downloads: 111
Aim: We will increase the attainment of the ‘Independence Bundle’ from zero to 80% by October 2017 for Children aged 16 and above prior to leaving William Street Children’s Home.


Improving quality and standardisation of review clinic letters in CAMHS, Newry (0.4 MiB)
Upload Date: 19th December 2018 Downloads: 141
Aim: Better communication of patient information
Consistency and quality standardised
Easier for clinicians and admin staff to complete
Clarity and ease of retrieval for G.P.s


Improving School Based Immunisation Programme For Teenagers In Post P . (8.2 MiB)
Upload Date: 8th August 2019 Downloads: 29
Aim: Working with parentsm children, schools and the Public Health Agency (NI) to improve vaccination uptake for teenagers where the rate is below 95%.


Improving School Based Immunisation Programme For Teenagers In Post P .. (8.2 MiB)
Upload Date: 6th August 2019 Downloads: 68
Aim:


Improving Seizure Record Keeping (0.2 MiB)
Upload Date: 8th March 2018 Downloads: 73
Aim: Improve seizure records to manage epilepsy


Improving Six Month Review - Stroke Team (0.6 MiB)
Upload Date: 29th August 2019 Downloads: 8
Aim: Community Stroke Team will carry out six month reviews at six months post stroke (+/- 2 months) 95% of the time within one year.


Improving the Experience of Carer Assessment in SEHSCT (1.1 MiB)
Upload Date: 12th March 2019 Downloads: 152
Aim: To improve experience of carer assessment and increase uptake of carer supports by 25% by May 2018


Keep It Clean - Improving Oral Health In Care Homes (2.4 MiB)
Upload Date: 21st November 2018 Downloads: 73
Aim: To ensure that every resident in Drumlough House EMI Unit has a tailored Oral Health Care Plan, implemented and displayed in an appropriate location, together with a daily record of oral hygiene activity


Keeping Safe - Improving Residents And Families Experience Of Feelings Of Safety Within The Complaints Process In Independent Sector Nursing Homes (0.4 MiB)
Upload Date: 16th April 2019 Downloads: 132
Aim: To improve residents and or their families feelings of safety to make a complaint by 50% by March 2019


Keeping Safe - Protecting Communities No Matter Where You Live (Conference) 1 (4.9 MiB)
Upload Date: 29th October 2018 Downloads: 102
Aim: To improve the Understanding and Engagement
of Service Users, Carers and Staff in Adult
Safeguarding in a Nursing / Residential Home
setting in the Northern Health and Social Care
Trust (NHSCT).


Management Of Equipment In Community Equipment Sub-Stores Ensuring Replenishment And Traceability Of Equipment (2.0 MiB)
Upload Date: 11th May 2018 Downloads: 145
Aim: To develop and implement a system to record issuing of; and support replenishment of equipment to ensure equipment issued from the sub store is replenished and traceable.


Management Of Equipment In Community Equipment Sub-Stores Ensuring Replenishment And Traceability Of Equipment (IQI 2019) [Final Version] (2.1 MiB)
Upload Date: 26th February 2019 Downloads: 126
Aim: Project to develop and implement a tracking system to record the issuing and support replenishment of smaller pieces of equipment held in Community Equipment Sub-stores


Mealtime Safety In Nursing Home Care Minimising Choking Risks (0.2 MiB)
Upload Date: 13th February 2018 Downloads: 95
Aim: Management of dysphagia in nursing homes by training of staff and implementation of care plans to improve resident safety


MHSOP Community Team CBT Skills Training (0.6 MiB)
Upload Date: 30th January 2019 Downloads: 146
Aim: To improve perceived
knowledge, skills,
confidence and frequency of
use in key areas of CBT –
80% of trainees to good
category
• To improve objective CBT
knowledge test scores –
80% of trainees score to
greater than 60%
• Practice implementation by
80% trainees (by end May)


Mind Of My Own - Improve Engagement Of Young People (0.2 MiB)
Upload Date: 8th March 2018 Downloads: 139
Aim: Improve the engagement of young people in Looked After Children Review process to 80% by May 2014.


Mind the Gap (Solving the gap between effective care and resources) (18.8 MiB)
Upload Date: 22nd August 2018 Downloads: 63
Aim: To improve Classroom Assistants Confidence to 80% as effective partners with children who have SSD, aged 4-6 years, by May 2018.


Occupational Therapy Leaflet And Referral Management (0.3 MiB)
Upload Date: 8th March 2018 Downloads: 99
Aim: Occupational Therapy referral management and service leaflet


One Stop database (0.5 MiB)
Upload Date: 19th December 2018 Downloads: 86
Aim: Reduce time and resources looking for service user information
Efficient working and reduce staff frustrations
Better quality information and streamlined together


Parent and Tot Together (PATT) - A Collaborative Approach (0.5 MiB)
Upload Date: 12th March 2019 Downloads: 105
Aim: To increase parents’ active involvement in their PATT placements from 0% to 60% by September 2017 in the Northern Health and Social Care Trust.


Permanent Placement Team North Electronic Messaging Service (3.8 MiB)
Upload Date: 11th May 2018 Downloads: 88
Aim: Increased accuracy of information with removal of duplication and more efficient workload management.


Pet Therapy (10.0 MiB)
Upload Date: 31st May 2018 Downloads: 211
Aim: Pets As Therapy (Pet Therapy) or Animal Assisted Therapy has
been in use for some years now. For centuries it has been
noted that people with pets recovered more quickly from
physical illness and that their mental health was better than
those without pets. More recently animals were allowed into
care homes and hospices and studies showed a marked
improvement in social interaction, general behaviours and
mood.


Physical Health Monitoring within Mental Health Acute Community Services (0.4 MiB)
Upload Date: 22nd August 2018 Downloads: 111
Aim: 100% of people admitted to ACS will be offered physical screening as indicated. To improve patient’s awareness of health and well-being.


Positive Behaviour Support (0.6 MiB)
Upload Date: 29th August 2019 Downloads: 17
Aim: To increase staff knowledge of Positive Behaviour Support by 60% by May 2019 in Balloo Training Resource Centre (TRC).


Promoting Choice: Alternative Approaches for Service Users to Resolve Issues About Care (0.5 MiB)
Upload Date: 8th October 2018 Downloads: 108
Aim:


Quality Improvement in the Committal Process in HMP Maghaberry (2.0 MiB)
Upload Date: 31st August 2018 Downloads: 158
Aim: Reduce Percentage of Omitted First Doses of Medication in HMP Maghaberry by 60% by June 2018. Improve Connection and Flow of Information to People Entering Custody.


Reablement Plus (19.1 MiB)
Upload Date: 31st May 2018 Downloads: 142
Aim: Test whether service users could benefit from a longer period of Reablement beyond the traditional 4 - 6 week timeframe.


Reducing DNA in Paediatric ADHD Clinic (0.5 MiB)
Upload Date: 22nd August 2018 Downloads: 69
Aim: Reduce the percentage of did not attend (DNA) in ADHD Clinic to under 5% by June 2018.


Release Of Tongue Ties For Breast Feed Babies (IQI 2019) (2.6 MiB)
Upload Date: 26th February 2019 Downloads: 93
Aim: Supporting breastfeeding as the optimal way for a baby to feed


Routine A0 Poster (1.6 MiB)
Upload Date: 2nd July 2019 Downloads: 138
Aim:


Sara Stedy Transfer Aid (0.8 MiB)
Upload Date: 29th August 2019 Downloads: 8
Aim: 100% of Sara Stedy aids issued in the Down locality by our service, will be checked as fit for purpose by end of June 2019 (n=18).

100% of Sara Stedy aids will be on a scheduled servicing contract by end of June 2019 (s=14).

 


Seek to Understand...making safeguarding personal (2.4 MiB)
Upload Date: 2nd July 2019 Downloads: 98
Aim: By February 2019 we will increase the involvement* of service users (open to the Adult Protection Gateway Team) in the Safeguarding process by 30%.


Self Directed Support Implementation Of ASCOT (0.5 MiB)
Upload Date: 18th December 2018 Downloads: 163
Aim: Provide all the communication needed for staff to implement ASCOT as an agreed measurement of social care outcomes for the 1st time in NI for use both within Self Directed Support & throughout Social Care ensuring this is applicable across as wide a range of service user groups and care / support settings as possible


Sleep A0 Poster (2.5 MiB)
Upload Date: 2nd July 2019 Downloads: 51
Aim:


SLT In Autism Specific Classes - Working Together (1.0 MiB)
Upload Date: 18th December 2018 Downloads: 203
Aim: -Provide fair and equitable SLT service to all ASCs.
-Increase involvement of parents and educators.
-Increase the standardisation across the service.


Standardising Blood Collection Items In Treatment Rooms (0.2 MiB)
Upload Date: 8th March 2018 Downloads: 97
Aim: GP Treatment room blood ordering and collection standardisation


Stepping Along Makes Legs Strong (8.9 MiB)
Upload Date: 31st May 2018 Downloads: 149
Aim: The purpose of this project is to determine whether increased mobility can promote physical, emotional health and wellbeing and increase confidence regarding mobility. Twelve Residents from Trinity House care home in Garvagh, have volunteered to take part in the ‘Stepping along makes legs strong’
project.


Stepping Along Makes Legs Strong (1.4 MiB)
Upload Date: 26th February 2019 Downloads: 70
Aim: Determining if increased mobility can promote physical, emotional health and wellbeing and increase confidence regarding mobility


Stop And Read Before You Feed (1.8 MiB)
Upload Date: 22nd August 2018 Downloads: 142
Aim: To reduce the risk of non-compliance with swallowing recommendations by 50% within Thompson House in turn reducing the overall risk of choking episodes.


Support Social Workers To Increase The Completion Of Support Planning (0.4 MiB)
Upload Date: 13th November 2018 Downloads: 172
Aim: To support the social work team to increase the number of meaningful support plans being completed each month by 50% by June 2018


Tackling The Treatment Tail In Community Speech And Language Therapy Clinics (1.3 MiB)
Upload Date: 11th May 2018 Downloads: 141
Aim: This project aims to reduce the treatment tail of SLT clinics.


Take time to make Time SLT (0.5 MiB)
Upload Date: 10th June 2019 Downloads: 135
Aim: To reduce the number of children presenting with mild difficulties attending for initial assesment in community clinic to 10% by July 19.


Take Time To Make Time SLT (0.5 MiB)
Upload Date: 29th August 2019 Downloads: 8
Aim: To reduce the number of children presenting with mild difficulties attending for initial assessment in community clinic to 10% by July 2019


The Emoji Project (0.5 MiB)
Upload Date: 3rd August 2018 Downloads: 112
Aim: 80% of the children that engage with the Newcastle Child and Family Team will have a Child Centred assessment by March 2018.


The Healthy Weight Pathway For School Nursing In Northern Ireland (Fi . (0.9 MiB)
Upload Date: 8th August 2019 Downloads: 52
Aim: Healthy Weight Pathway for School Nursing supporting overwight and very overweight young people in year 8.


The introduction of a Frailty Assessment for all service users aged over 65 years that are admitted under the care of the Acute Care at Home Team. (0.5 MiB)
Upload Date: 19th December 2018 Downloads: 117
Aim: Much better service user experience– more thorough
Providing a higher level of care to Older People (Gold Standard Care)
Development of the AC@HT service


Think Carer And Connect (0.5 MiB)
Upload Date: 13th November 2018 Downloads: 141
Aim: To increase referrals to the Trust’s Carers Register (from a baseline of zero) by the Community Mental Health Team for Older People (CMHTOP) by June 2018.


Think, Involve, Record (1.1 MiB)
Upload Date: 12th March 2019 Downloads: 122
Aim: To empower the young people within Scroggy Road Children’s Home to participate more actively in their social work recording

To improve recording in Scroggy Road so that by 1st September 2016 there will be 50% compliance with the Regional Administration & Recording Policy (2015)


Time - Safe Immunisation For Everyone (T-SIFE) (0.2 MiB)
Upload Date: 13th February 2018 Downloads: 102
Aim: Reduction of Immunisation errors in children’s community services


Time Management Audit (0.5 MiB)
Upload Date: 8th October 2018 Downloads: 121
Aim:


To Improve Medication Management For Service Users Within Community Rehabilition Service (CRS) (0.3 MiB)
Upload Date: 16th April 2019 Downloads: 60
Aim: To reduce the number of medication recording errors by 30% in the North and West Sector of CRS by 1st March 2019


To Improve Service Users Records in Rowan DC (0.5 MiB)
Upload Date: 12th March 2019 Downloads: 144
Aim: Improving Service Users to have a One Page Profile in their file

 


Transitions into Adult Learning Disability Services (0.6 MiB)
Upload Date: 2nd July 2019 Downloads: 184
Aim: Every allocated transitions case will receive a comprehensive ‘All About Me’ Core Assessment and Self-Directed Care and Support Plan. This will ensure that young people transitioning into Adult Learning Disability Team (ALDT) Services are supported by a structured, seamless, coordinated transitions process. From 0% baseline September 2018 (Piloting of new documentation, ‘All About Me’ and Self-Directed Care and Support Plan only commenced in August 2018) To 25% compliance June 2019


Using The Evidence Base In Practice In Community Speech And Language Therapy (2.0 MiB)
Upload Date: 11th May 2018 Downloads: 172
Aim: Training of other SLTAs in community team and on-going evaluation of effectiveness.


Walking Club (0.4 MiB)
Upload Date: 8th October 2018 Downloads: 108
Aim:


What Matters To Me (0.3 MiB)
Upload Date: 12th March 2019 Downloads: 52
Aim: By October 2018 20% of service users will have a What Matters To Me Plan completed during their Short Break in Spruce House.


What Matters To Me (0.5 MiB)
Upload Date: 12th March 2019 Downloads: 126
Aim: To increase feedback from children and young people on their experience of the Guardian ad Litem service from 20% to 30% by October 2018


What Matters To You? Improving engagement between Lay Assessors and Residents in residential care homes during inspections (0.7 MiB)
Upload Date: 12th March 2019 Downloads: 128
Aim: To increase the quality of feedback received from residents and their representatives in residential care homes from 44% to 90% by March 2019.


WHSCT Poster Template Jan 2019 Triage 2 (0.3 MiB)
Upload Date: 2nd July 2019 Downloads: 76
Aim:


Working in Partnership to Deliver a Shared Mental Health Pathway to Improve and Enhance the Older Person’s Care Journey. (1.8 MiB)
Upload Date: 2nd July 2019 Downloads: 110
Aim: To improve partnership working and increase the transfer of cases between the Northern Sector CMHTOP and the Riverview ISD team from 0-7 between January and May, 2019