AIMS
Psychiatric Intensive Care Unit
Maintaining the AIMS standards
Continuing Self Review within Core Group:
5 staff to lead the following -
• Environment
• Health records
• Policies
• Timely admissions
• Activities
Signed up to AIMS one year ago
The initial AIMS review process allowed us to identifyareas where we could implement improvement/change.
Current Projects:• Extra care area• Review of seclusion policy• Introduction of Band 4’s to the team• Productive Ward• Starwards• New models of supervision• Meridian
How have we maintained/improved standards?
• Health and Social Care Diplomas for HCA’s Band 3
• Rotational Charge Nurse Post – opportunity for trained staff to develop managerial and leadership skills.
• Individual interest/leading new initiatives.
Weekly in-house training: Opportunity for both teaching and learning.
Staff Development
Month 1 April 2011
Target Description Patient Safety Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar YTD Actuals YTD Target
Distance from Target YTD
11/12 TargetFull Yr 11/12 Out
TurnR/A/G
Patient Safety Incidents 4%
To reduce the number of service users who experience a slip, trip or fall (not to exceed 450 recorded falls in year)
0% 0% 0% 0%
Violence & Aggression with TMAV 2% 1%
Violence & Aggression without TMAV 1% 1%
Infection Outbreaks 0% 0% 0% 0%
Medication Incidents/Near Misses - Prescribers 1% 0% 0% 0%
Medication Incidents/Near Misses - Administrators 1% 0 0% 0%
Seclusion 4% 7 34
Absent Without Leave 0% 0% 1% 0%
Deaths 0% 0% 0%
Serious Incidents 0% 0% 1% 0%
Quality MetricsAIMS 125/128 125/128 125/128
Meridian 19/25% 90% 19/25 80%
QUINCES 9/9% 9
PEATS 13/16% Jan-00
Inpatient Survey 18/25 90.00% 90.00%
Suicide Audit 18/25 100% 100%
Star Wards Nil Nil Commence Aug Enrolled
PerformancePhysical AssessmentsCare Plans offered 100% 100% 100% 100%
To ensure that service users who smoke are aware of the services available to help stop them smoking
100% 100% 100% 100%
Breach of Follow Up Within 7 days 1 0 0
Minimising Delayed Transfers of Care 8% 8% 0%
Admission Times - Time of DayReadmission TimeLength of StayLine of Sight - Hours Out of County 1046 hrs 910 hrs
Breach of out of county paitents - 24 Hour Discharge Letter 1 2
Admissions to inpatients services had access to crisis resolution home treatment teams
To provide 95% of adult patients with a HoNOS baseline and 95% of older adults with the HoNOS 65 baseline with a planned review date.
GoverancePolicy protocol checksMHA AdherenceNMC Registration 1 100% 100%
Rio Adherence24 Hour Checks 100% 100% 100%
Safeguarding Adults 0% 1% 1%
Meetings 17 9%
Activities on Ward 230hrs 210 hrs 230hrs
Section 17 Leave - Facilitated 100% 100% 96.00%
Section 17 Leave - Non Facilitated Nil 0% 4.00%
Human Resources3 in 3 o% 1.0% 1.0% 3.0%
10 in 6 Nil
Cost of sicknessNumber of people CRB checked 2% 2.0% 100.0% 100.0%
Absence Rate % 8% 8.0%
Grievance - New in Month Nil 0.0%
Referrals to Occupational Health One 3.0%
Bradford score of 300 One 3.0%
Disciplinarys new in month Nil Nil
Return to Work Interviews One 3.0%
Maternity Leave One 4.0%
Investigation Nil Nil Nil 2.0%
Supervision 50% 6wk period 50.0% 60.0% 50.0%
Appraisals Ongoing Ongoing 90.0% 95.0%
Capabilities Nil Nil Nil Nil
Return to Work Interviews 1% 1.0% One
Suspensions nil Nil Nil Nil
Vacancies 4% 4.0% None
Referrals to Occupational Health 1% 1.0% One 2.0%
Cost of Sickness 343%
FinancePay - Under / Over spend Under
Non Pay - Under / Over spend nil
Bank Staff CostsAgency Staff Costs Nil Nil Nil Nil
TrainingCompulsory Training 72% 80.0% 80.0% 80.0%
Fire Safety Face-To-Face 72% 80.0% 80.0%
Information Goverance 28% 30.0%
Personal Safety Awareness 100% 100.0% 85.0%
CPD 40% 40.0% 40.0% 40.0%
Safeguarding Adults Level 1 100% 100.0% 100.0% 100.0%
Safeguarding Children Level 1 100% 100.0% 100.0%
Trust Induction 100% 100% 100% 100%
Harvest Ward
• Clients and Families• Good Record Keeping• Ensuring Effective MDT / RiO• Service Level Agreements and
Out of County Admissions• Budgets• Busy Unit
The Challenges
Essence Of Care / Productive Ward
We have been working towards benchmarking within essence of care for some years, this process along with productive ward allowed us a brilliant starting point to move forward with the AIMS accreditation which continues to support our ongoing vision for the future of our unit.
• Protected Therapy Time• Enhancing the Healing Environment• New Furniture• New Signage• Showers• Windows• Carpets• External Donations• Staff Uniform
Ward Environment