Developing a new culture SKINtelligence: around safety and avoiding skin breakdown Cathy O’Sullivan Chief Executive, Thames Valley HIEC
Cross-sector, cross-discipline, partnership working Everyone owns the problems and the solutions = RESPECT and UNDERSTANDING
Cross-sector, cross-discipline, partnership working Everyone owns the problems and the solutions = RESPECT and UNDERSTANDING Local LEADERSHIP and bottom up CHANGE
Cross-sector, cross-discipline, partnership working Everyone COMPETENCE owns the problems and EVIDENCE and the solutions = RESPECT and UNDERSTANDING Local LEADERSHIP and bottom up CHANGE
Cross-sector, cross-discipline, partnership working Everyone COMPETENCE owns the problems and EVIDENCE and the solutions = RESPECT and UNDERSTANDING Local SHARED LEADERSHIP and bottom up LEARNING CHANGE
The evidence Different sites using the SSKIN bundle
The evidence Eton House Residential Home SSKIN bundle
Developing a new culture SKINtelligence: around safety and avoiding skin breakdown
A culture of openness Transparent reporting to residents, families and staff
The evidence The Safety Cross in use
A culture of openness Root cause analysis of harm
The evidence Transparent displays of days since last avoidable harm Eton House Residential Home - Days without Avoidable Pressure Sore 350 308 300 290 Days without Avodable Pressure Sore One Self-care 259 250 resident / grade 2 229 200 198 170 150 100 68 50 42 11 1 0 31st 28th 31st 26th 30th April 31st May 19th June 20th June 30th June 31st July January February March August 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 Days without Avoidable Pressure Sore 170 198 229 259 290 308 1 11 42 68
A culture of openness Sharing outcomes collaboratively
Developing a new culture SKINtelligence: around safety and avoiding skin breakdown
A culture of openness Buy-in at all levels
Evidencing harm and improvement No common reporting
Evidencing harm and improvement Initial audits Baseline assessments
Evidencing harm and improvement Common Initial standards, tools and reporting audits mechanisms Baseline assessments
The evidence Oxford University Hospitals NHS Trust
A bottom-up approach to change • Culture change takes time • We developed the idea of MAGNIFIERS at every level of the care system…
A bottom-up approach to change
A bottom-up approach to change • Magnifiers • Role modeling • Peer learning • Combination of more formal training and practical, on the job, coaching • Involving residents, patients and families
SKINtelligence The Learning Location for Skin Care
The Learning Location for Skin Care
Website On this site you will find all sorts of materials aimed at staff with different skills levels and learning needs. There are learning materials, assessment tools, locally useful information and national policy guidelines. Please have a look at the resource base and encourage your friends and colleagues to do the same. You will find it at: http://www.learning-location.com/skin-care/
Learning Links contains Resources relating to Skin Health
Resources are matched to competency areas and to roles
Confidence Tool to track progress
Answering questions relating to your competence on a scale from High to Low
How confident do I feel results graph
Practical examples and cases • Learning and Development Needs Tool This tool, which will be available from March 2015, will allow you to view different care scenarios and reflect on your approach by answering questions. The results will then direct you to the most appropriate 'Learning Links' for you.
Feedback Please send us your feedback • what works or doesn’t work • what can be improved • Any resources you find useful to share • Anything you would like us to source to help you do your job better You will find a feedback form on the website at: http://www.learning-location.com/skin-care/contact/feedback
Communicating success for sustainability Recognise and celebrate
Communicating success for sustainability Recognise and celebrate Patient pull
Communicating success for sustainability Recognise Sharing and creative celebrate ideas Patient pull
Communicating success for sustainability Recognise Sharing and creative celebrate ideas Patient Publishing and pull displaying progress to understand what works
Communicating success for sustainability Recognise Sharing and creative celebrate ideas Communicating ambition Patient Publishing and pull displaying progress to understand what works
Communicating success for sustainability Regular stakeholder Recognise events Sharing and creative celebrate ideas Communicating ambition Patient Publishing and pull displaying progress to understand what works
Communicating success for sustainability Regular stakeholder Recognise events Sharing and Communicating creative evidence of celebrate ideas improvement Communicating to build ambition sustainability Patient Publishing and pull displaying progress to understand what works
Communicating success for sustainability Regular stakeholder Recognise events Sharing and Communicating creative evidence of celebrate ideas improvement Communicating to build ambition sustainability Patient Publishing and pull displaying progress Shared to understand what works Learning resources
“From what I have seen today, remarkably simple changes make remarkably dramatic differences.” George Moncrieff, Local Oxfordshire GP and Chair of the Dermatology Council for England
THE LEARNING LOCATION On this site you will find all sorts of materials aimed at staff with different skills levels and learning needs. There are learning materials, assessment tools, locally useful information and national policy guidelines. You will find it at: http://www.learning-location.com/skin-care/
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