Bluebird House Rapid Process Improvement Workshop Report Out

Bluebird House Rapid Process Improvement Workshop Report Out 29/10/19

What is Bluebird House? Promoting Recovery Supporting young people Keeping young people safe Therapeutic engagement Positive risk taking Life skills ***IMPROVING LIVES***

What is Value? Staff Activities and engagement Organisation – shift lead/planning/debrief/reflection etc Section 17 leave Service user forums/community meetings Training Supervision Good clinical handover Staff Food/mealtimes MDT meeting Young people Good conversation Seeing people smile Section 17 leave Activities and engagement Food/mealtimes Chalk boards – allocations Staff MDT meeting

What stops us/Waste? Ward ‘lulls’ Observation documentation Chasing jobs/people Not complying with processes Duplication of work Poor communication Culture/habits/staff attitude Bureaucracy Limitations of environment Myth and legend Resources Appropriate Training and access to training e. g. SSS Lack of organisation and structure. Limitations of Tech/IT Previous negative experiences Approach to risk Wider BBH team working Staffing

Areas to consider Activities Communication Environment Education Food Meetings Rules and Processes Safety

What we will change Change Impact Breakfast Group Engagement, communication, setting up day/routine, health promotion. Supper Club Engagement, communication, health promotion. Winding down routine Internet Cafe Life Skills, independence, entertainment, Social Handover Improved communication, improving quality of care. Observations documentation Releases time, better quality information, eco friendly, cost effective.

Changes continued Change Impact Booking section 17 leave process/leave options info local things to do Improved organisation, Less cancellations, Consistency, focussed leave De-clutter Office -5 ‘S’ (Sort, set, shine. Standardise, sustain) Organisation, clearer processes, time saving, better working environment, efficiency. Activities/Games Room Nicer therapeutic space, accessibility, engagement, entertainment, Social , promote trust Communication between LTC and Ward staff Time saving, reinforce importance of attendance, better working relationship LTC supporting educational section 17 leave Improved attendance, improved opportunities

Changes continued Change Impact IT Laptops Cordless phones Ulysses Room/car bookings Tablets TV remote Smart TV/BT Speakers WIFI - its there YP Log ins*** Staff work easier, release time, efficiency, person centred care planning – YP involvement, Less time in office, normality, improved environment and entertainment. Environment - weekly visit to ward by site manager. Reviewing garden contract Clearer processes and updates, cleaner, safer environment, Wider understanding of roles and requirements. Access to fresh air.

Changes continued Change Impact MDT Meeting – improved structured reports (guidelines) and wider team involvement HCSW attending. Enhance communication, improve team working, reassurance for YP, BBH process and guidance booklet for staff (Leave booking, MDT reports, Rio template, safeguarding , day timetable and other variation in processes, debrief template. Improve processes, consistency, jobs shared, time saving, better patient outcomes – more therapeutic time. Less errors. Expectations and ward standards Better team working, more consistency, improved overall standards.

What we need to achieve this Supernumerary allocated time Support from Tech Support from Estates Support from Ulysses Managers – Ward/Division Regular clear communication Teamwork Funding/Money – charitable funds Understanding roles/responsibilities. Trust Open/honest Positive risk taking Commitment Encouragement, opportunity and appreciation

Reflections/lessons learnt Insight into what works well and areas to improve ‘easy wins’ We can change – but need support Opportunity to identify areas for improvement. Focus – bringing us together to achieve goals. Re-focus on why we are here Opportunity for YP feedback and to listen to their views. Understanding amount of ‘waste’ and being able to change this. Kind to self

To be continued…