WOODINGFORD LODGE BPSO NEWSLETTER

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1 WOODINGFORD LODGE BPSO NEWSLETTER December 2018 Woodingford Lodge, Oxford County Are We There Yet? Vision Statement: Woodingford Lodge an exceptional place to live & work. Inside this issue: S.T.A.R. Program 2 Our Big T hree BPG s BPSO R eport Card Results Champions in Education 3 4, 5 6, 7, 8 Almost! We re now in the final lap of our journey to obtain our BPSO status. It s been quite the ride hasn t it? Judy and her team of Champions have worked hard over these last three years and the finish line is in sight. We ve got our reservations for the designation ceremony planned in Toronto at the annual RNAO Conference for April 11, 2019! In the meantime, however, we re not quite done yet. There s still some work to do before achieving our designation! Let s take a look at what we ve accomplished in just the last few months since our summer newsletter: Check out our section on the new S.T.A.R. Program Where Are We with Our Big Three BPG s? The results are In: Let s Look at our latest BPSO Report Card results! Enhancing our Residents lives through best practice. PAGE 1

2 PAGE 2 S.T.A.R. PROGRAM Staff Taking an Active Role This program is to help front line staff feel supported and safe in providing quality care to the residents. The emphasis on this program is on resident centred care with the goal of decreasing injuries and incidents from occurring. Benefits of the program include: Improved Mental Wellness for Staff Peer to Peer Support Proactivity vs. Reactivity Decreased injuries to staff, residents and visitors. Improved Quality of Life for the residents. Enhanced Interdisciplinary support and team work. Principals of the S.T.A.R. Program: One staff member, always supporting residents within the home area to decrease fluctuating moods. If two staff members are providing care to a resident, another staff will circulate area to monitor for safety and de-escalate responsive episodes before they become concerning. The primary role of the staff member circulating is to ensure that residents are accounted for. Staff will rotate throughout the shift as circulating staff member to ensure all staff have this opportunity to de-stress and provide them variances in their role during the shift. The core principal of this program is focused on reducing responsive behaviours before they occur which in return will reduce staff stress, resident to resident aggression and staff injuries. The primary treatment for Behavioural and Psychological Symptoms of Dementia is Non- Pharmacological driven, therefore being proactive in this approach will reduce the burden of medication to the resident, reducing falls for residents and creating a supportive environment for resident and staff. All Behaviour has Meaning How do we decrease the behaviour before it escalates? Observe, Observe, Observe. Intervene immediately What are the Behavioural patterns to monitor for? Communicate, communicate, and communicate. Actively prevent behaviours prior to them occurring Conscious Behaviour aware of possible outcome(staff, scripted outcome) Habitual Behaviour certain times of day cause certain outcomes Unintentional behaviour accidental Conscious Behaviour accounts for 45% of all responsive episodes. Habitual Behaviour accounts for 39% of all responsive episodes. Unintentional Behaviour accounts for 16% of all responsive episodes. Models of Support: Behavioural Rounds Monthly review of difficult situations S.T.A.R. Rounds staff member to assist in weekly behavioural rounds on a rotational basis. BSO Resource Binders Tips, Tricks and Interventions. Obstacles are what we see when we take our eyes off our goals

3 PAGE 3 Resident Centred Care Winnifred Susan Person and Family Centred Care: It s been amazing to see so many of our staff signing up to attend education sessions which focused on the various aspects of Resident Centred Care! Here s just a few of the courses offered to Woodingford staff lately: Judy Esseltine and Kristin Slager received their trainer Certification in Communication at End of Life Program. They will be rolling out some training in this for several of our PSW s in the New Year. 40 staff members received their certification in LEAP, (Learning Essential Approaches to Palliative Care in Long Term Care) U-First! Workshop: Presented by Beth Haas of the Alzheimer Society of Oxford County saw a dozen of our staff members attend this training program that helps frontline staff to develop a common knowledge base, language, values and approach to caring for people with Alzheimer s disease and other forms of dementia Jennifer Hall has begun teaching Senior Mental Health First Aid which will see 100% of our staff certified over the next 5 years Mark Dager and his BSO team have introduced the new Family Transition program to help those on the waiting list for LTC ease into this transition Through Our Eyes: Bringing the Resident Bill of Rights to Life was introduced into the new hire orientation process and presented at various educations events Pain Management: We have implemented the Pain Management BPG in our Ingersoll and Tillsonburg locations. Watch for it in Woodstock soon. Some of the training and initiatives which focused on pain management over the last few months included: A review of our Pain Brochure. Ingersoll Recreation staff are trialing documenting any pain interventions or screening done. Botox treatments to address spastic pain issues Mark Dager and Tina Grey held a great training session which focused on Pain and Symptom Management and Holistic Well-Being of Dementia. Preventing and Addressing Abuse and Neglect of Older Adults: Please be sure to check out the RNAO website for our Zero Tolerance for Abuse/Duty to Report/Whistle Blower Protection video! Watch the video at:

4 PAGE 4 BPSO report card update: A Look Back to May Resident report card Staff Report card: PFCC 103 Residents Responded! May 2018 Highest rated question: 1) Do staff address you by your preferred name or do they use words like "honey", "dear" etc.? 84% favorable with a 4 or 5 2) Do staff allow you to be as independent as possible or do they assist you with tasks that you would like to do yourself? Do you feel staff recognize your abilities and health needs? (83%) Lowest rated question: 56% rated 4 or 5, and 32% percent stated with a 1, 2 or 3 to the question Do staff introduce themselves to you and explain their role? This question had the most poor responses. When interacting with you or giving care, do staff explain to you what is going to take place? Only 70% favourable with 4 or 5 and 1,2&3 scores at 24% 16 responses from all 3 sites Highest rated question: Do staff adjust their communication style to accommodate the person's needs? E.g. cognitive and hearing loss 97% rated 4 or 5! Do staff give residents their full attention and use direct eye contact rated 97% favorable. When residents ask questions or given information are they given explanations they can understand? rated 92% favourable. Staff support family presence and involvement according to the wishes of the resident. 92% answered with a 4 or 5. Lowest rated questions: Are residents asked what they hope happens on a regular basis? 56% rated 1,2 or 3. Are residents asked what they think their strengths and health needs are? (perceptions, knowledge, and understanding of their health) 37% rated 4 or 5 and 54% 1,2, or 3 (rest were n/a s) 37% responded 3 or less to Do staff introduce themselves to residents and explain their role? 34% responded 3 or less to the question Does documentation occur so that all staff are able to know the wishes and preferences residents may have regarding their care. 133 Residents Responded!! Highest rated question: 1) Do staff allow you to be as with tasks that you would like abilities and health needs? 9 2) Do staff address you by y "honey", "dear" etc.? 92% fa Lowest rated question: 65% rated 4 or 5, and 35% Do staff introduce themselve the most poor responses. When interacting with you o to take place? 81% favourable with 4 or 5 31 responses from all 3 sites Highest rated question: Staff support family presenc resident. 94% answered wit Do staff adjust their commu E.g. cognitive and hearing lo Staff are sensitive to non-m and spirituality). 90% rated 4 Lowest rated questions: Are residents asked what th 1,2 or 3. Are residents asked what th (perceptions, knowledge, an Staff Report card: Abuse Highest Rated: Do you feel confident in what you need to do if you suspect abuse and neglect? (100% rated 4 or 5!!!) Lowest rated: Do you feel education has increased your knowledge in the following areas: Ageism, using terms of endearment (75%) Factors that may contribute to abuse and neglect in LTC (75%) Highest Rated: Do you feel confident in what y 97 % rated this a 4 or 5 Lowest rated: Do you feel education has incr Ageism, using terms of ende

5 How We re Doing in November! PAGE 5 November 2018 Points of interest/ Trends independent as possible or do they assist you to do yourself? Do you feel staff recognize your 8% favourable with a 4 or 5 our preferred name or do they use words like vorable with a 4 or 5 percent stated with a 1, 2 or 3 to the question s to you and explain their role? This question had r giving care, do staff explain to you what is going What improved: We saw that our two highest rating where still the highest rated this time around, but that we have done better in both areas by allowing our residents to remain as independent as possible, and remembering to call people by their preferred names. In fact, according to all the results, we improved in all areas! What declined? We actually scored higher marks in all areas then we did for the report last May! What stayed the same? Everything improved according to this survey and 1,2&3 scores at 18% e and involvement according to the wishes of the h a 4 or 5. nication style to accommodate the person's needs? ss 90% rated 4 or 5. edical dimensions of care (culture beliefs, values, or 5. ey hope happens on a regular basis? 52% rated ey think their strengths and health needs are? d understanding of their health) 45% 1,2, or 3 What improved: It looks like we are really doing much better in introducing ourselves and explaining our roles. We were only doing this 67% of the time according to our last survey and we ve gone up to doing this 84% of the time! We are also showing great improvement on documenting the wishes and preferences of our residents so other staff know! We show 11% improvement over the last survey. Our best improvement came under the area of Are residents given choice, (not assumed because of routine)? The last survey rated this 19% with a 4 or 5 and this survey showed we scored 77%! What declined? There was a big decline in the rating for Do staff meet residents needs even though it isn t their job if they are safely able to do so? Staff rated this one at 48% this time as compared to 85% as a 4 or 5 last time What stayed the same? We scored the same in Where proceeding with care or interaction do staff explain what is going to take place to the resident? We remained at 74% rated 4 or 5 ou need to do if you suspect abuse and neglect? eased your knowledge in the following areas: arment (77%) What improved: Although we showed an improvement in the area of Ageism, using terms of endearment, it is also still our lowest rating at 77% as compared to 75% on the last survey. Factors that may contribute to abuse and neglect improved their 4 or 5 rating from 75% in May to 87% this time. What Declined: We saw a decline in Do you feel education has increased your knowledge in the following areas: the types and signs of abuse, residents rights as well as in Do you feel confident in what you need to do if you suspect abuse and neglect?

6 PAGE 6 Best Practice Champions, November 2018 Bonnie Hughes, RN, Manager of Resident Services-Ingersoll Anna Grimaldi, PSW Christie Murphy, PSW Kim Ebel, PSW Karen Schinbein, RN Liz Eaton, PSW Allswell Boham, RN Nadine McComb, PSW Kylie Mudford-Heeney, RN Jodie Rodrigue, PSW Ashley Cressman, RN Caitlin Parker, PSW Janice Sloat, Reg. Dietician Tina Gray, BSO-PSW Deb DeRoo, Dietary Tammy Ficht, RPN James McClelland, RPN Seenya Joseph, Physiotherapist Connie-Lynn Gushue, RPN Neenu Theresa Jacob, Physio Aid Teresa Dykstra, RPN Desiree Plasschaert, RPN Amanda Page-Schlueter, RPN

7 PAGE 7 Education: Through Our Eyes: Bringing the Resident Bill of Rights to Life. On October 3rd, we held a Champions Workshop for our Woodingford Lodge Champions and every got to experience the Through Our Eyes presentation which included our own Margie B. front and center, along with SO PSW staff member, Tina Gray! OCTOBER 25TH Everyone learned how to involve the Team in caring for the person with dementia. Understand the behavior changes in a person with dementia. Flag possible changes seen in the person Interact with skill and understanding Reflect and report the behavior Support the person with dementia and their family caregiver On October 16th and 17th approximately 40 staff members took place in the LEAP LTC program. Learners were educated on basic competencies of the palliative care program.

8 PAGE 8 Champions in the Making! RNAO BPSO Champions workshop Keeping our community informed and collaborative: In implementing our BPGs we keep staff, residents and families informed of our plans and progress through our BPSO Newsletter. We also have staff team huddles and resident/family huddles to give opportunity to collaborate concerns, suggestions and feedback that will promote our goals. If you have other ways we can best collaborate, please provide your suggestions to: Judy Esseltine, Project Nurse - BPSO Liaison tel: ext jesseltine@oxfordcounty.ca