Assessment Treatment Unit - Sheffield Health and Social Care ...

Assessment Treatment Unit - Sheffield Health and Social Care ...

Assessment Treatment Unit Sheffield Health and Social Care NHS Foundation Trust. Benchmark of Best Practice for: ASSESSMENT AND TREATMENT UNITS Presentation at Yorkshire and Humber Community of Practice for LD Nurses

Presented by Julia Shepherd LD Nurse Consultant Nancy Marshall LD Nurse Ged Lunt LD Nurse 6 May 2010

Background The Sheffield ATU has been operational for 14 years. Has 7 beds Is staffed by Nurses Receives inputs from CAISS and IMWT

Future service provision The three teams are coming together to provide one new service the Intensive Support Service within the next two years. As part of the work leading up to the new service we wanted to check out what we are currently doing Benchmark 6 - Assessment

Assessment - There is evidence that there are a range of assessments in place for individuals which identifies their personalised needs. Assessment findings Number

Assessment and Treatment Unit Indicators of Best Practice for Assessments 7 6 5 4 3 2 1 0

1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 Q Q Q Q Q Q Q Q Q Q1 Q1 Q1 Q1 Q1 Q1 Q1 Q1 Q1 Q1 Q2 Q2 Q2 Q2 Q2 Q2 Question 6 - If applicable assessments contain a clear description of behavioural sequences, measure, frequency, intensity and duration of behaviours Currently 4 out of 7 meet the criteria, this is 58%

Question 9 Contra- indications of using any medication or physical interventions. Currently 5 out of 7 meet the criteria, this is 71%. A lot of detail included around the least restrictive approach in relation to physical interventions, less clear information relating to potential side effects of medication.

Question 14 the assessment concludes with details of why the behaviour occurred and is presented in accessible formats. Currently 1 out of 7 meet the criteria, this is 14% Very limited information in accessible formats.

Question 23 Accessible formats for information are available for the individual Currently 3 out of 7 meets the criteria, this is 43% Question 25 - There is an assessment of safeguarding issues Currently

this applies to only 3 out of the 7 clients. For individuals with no current safeguarding issues there is a flow chart within care plans detailing who to contact to make a safe-guarding alert. ACTION PLAN Question 6 to introduce the

traffic light system Making sense of challenging behaviour Making Sense of Challenging Behaviour Green Behaviour (Signs that the person is feeling content or happy) Amber Behaviour (Early warning signs of distress) Facial Signs

Vocal Signs Behavioural Signs Red Behaviour (The person is telling us that something is wrong ) Question 9 Monitoring to be undertaken monthly using SESCAM

All care plans to include potential side effects and contraindications of medication Question 14 Started using BILD documentation which is discussed at weekly overview meeting. To develop a shared formulation

Question 23 Effective communication booklets to further inform all assessment process. To discuss in client meetings what

format do individuals want. What is the key information they want to know each day. Introducing Photo support books Next steps Repeat the exercise within 3 months and then move onto another benchmark

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