Enhancing Ward Environment Project Improving Patient Care Through Improving Cleanliness A Project Le

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Enhancing Ward Environment Project
Improving Patient Care Through Improving
Cleanliness A Project Led By Ward Managers

Sue Smith Associate Director of Nursing
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Background

• Negative media publicity
• Poor perception of the Trust by patients
• Low morale of nurses
• Cleaning not owned by nurses
• Ownership needed

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Phase One

• Set Up A Project Group
• Action Plan
• Patient Questionnaire
• Ward Cleaning Books
• Monthly Meetings

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Phase 2

• Roll out across the Trust
• All wards returning questionnaires
• Total number of questionnaires returned by
  November 2005
• 1434

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1. Was the ward tidy?
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2. Was the ward clean?
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3. Was your bed area tidy?
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4. Did nurses regularly wash their hands?
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5. Did doctors regularly wash their hands?
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6. Were spillages cleaned quickly?
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7. Were toilet facilities clean?
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8. Were washing facilities clean?
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9. Were any concerns regarding your environment
acted upon?
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10. Were you offered washing facilities after the
toilet/bedpan?
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Patient Comments

• Expensive private medicine could not exceed the
  standard of care I received
• Toilets only appeared to be cleaned once a day
  under seats and basins could be cleaned more
  often
• Walsgrave was great
• Every one was brilliant from cleaners to nursing
  staff. I couldnt fault anyone

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Patient Comments Continued

• Even when the nursing staff etc., were busy, the
  standard of hygiene was never compromised.
• The difference Ive seen in just a year is very
  pleasing indeed.
• Nurses, doctors, domestic staff were marvellous,
  I give them a big THANK YOU.

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Patient Comments Continued

• Excellent friendly service with a great deal of
  care a vast difference from a previous
  experience in a private hospital the Walsgrave
  is far better
• If you have to be in hospital, I think I have
  been lucky being treated in this one

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Changes Based on What Patients Say

• Patients and staff requested reduced visiting
  times and stricter rules
• New times and rules started 1st March 2005
  includes
• Visiting Times 2pm-4pm and 6.30pm-8pm
• Two visitors per bed
• No sitting on beds

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Changes Based on What Patients Say Cont.

• Cleaning resources redirected from administrative
  buildings to ward areas to double the number of
  times toilets cleaned
• New floors and walls painted in one ward within
  one month of receiving questionnaires with
  patient comments
• Escalation process commenced to increase response
  time for repairs and cleaning

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Summary

• Project has been very successful resulting in
  speedy actions in response to patient feed-back
• The project has motivated staff and improved
  patient perceptions of the Trust
• INFECTION RATES REDUCED
• New visiting times and rules successfully
  implemented

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Spreading the Message
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Many improvements made and lots more to come

• Thanks to a team approach involving patients and
  carers healthcare staff infection control
  domestic housekeeping staff Directors and
  managers
• Thanks to TEAMWORK