SAMPLE. National Audit of Dementia Staff Questionnaire. Fourth round of audit

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National Audit of Dementia Staff Questionnaire Fourth round of audit The following naire has been developed to assess how well staff feel they are supported to provide good quality care/support to inpatients with dementia/possible dementia. If your job role means you never interact with any such patients in the hospital then you have received this naire in error and you do not need to complete it. When answering the s, you should think specifically about people you care for/support who have dementia/possible dementia. Each has a range of responses. Please select the response which best describes your experience/how you feel. Some s will not be applicable to all hospital staff and answer options are provided to allow you to indicate that is does not apply to you, in your role. Please answer all of the s. Please use the comment boxes at the end of sections to make any comments on the s or to expand on your answers. The naire is anonymous, responses are sent directly to the National Audit of Dementia Project Team at the Royal College of Psychiatrists and reporting will not identify you in any way. A full bibliography for the standards in this audit can be found at www.nationalauditofdementia.org.uk Please return the naire to the National Audit of Dementia using the pre-paid envelope attached. If you wish to be entered into a prize draw for one of five 50 vouchers for a high street store of your choosing, please fill in and return the freepost postcard attached. The postcard has its own pre-paid markings and should be posted separately to the naire envelope. Hospital code: HQIP 2018 1

A bit about you 1. Does your work bring you into contact with inpatients who are adults? Please note: you do not need to answer this naire if you work primarily in the A&E or outpatients departments. Yes You do not need to complete this naire, thank you for your time 2. Approximately what proportion of the patients you encounter in your role have dementia/possible dementia? ne You do not need to complete this naire, thank you for your time Up to 25% 26-50% 51-75% More than 75% 3. How do you define your gender? Male Female Other Prefer not to say 4. Please specify your ethnicity White/White British Black/Black British Asian/Asian British Mixed Other Prefer not to say 5. Please select your job title Registered nurse (Band 5 or 6) Registered nurse (Band 7 or above) Healthcare assistant Doctor Allied healthcare professional Allied healthcare professional assistant Student Ward based admin Other please specify: 6. Approximately how many hours a week do you work in this role? Up to 29 hours 30 hours or more HQIP 2018 2

7. Approximately how long have you worked in this hospital? Less than 6 months 6-11 months 1-2 years 3-5 years 6-10 years 11-15 years More than 15 years HQIP 2018 3

Support and training for you 1. Do you feel supported by specialist services for dementia in your hospital? E.g. dementia specialist team, mental health liaison, dementia champions a) During office hours i.e. Mon-Fri, 9am to 5pm I do not work office hours b) Out of office hours I do not work out of office hours 2. What form did your dementia training at this hospital take? Please tick all that apply elearning Workbook Workshop/Study day Higher Education Module Other - if other, please specify: I have not received any dementia training at this hospital 2. a) Following your training at this hospital, do you feel better prepared to provide care/support to people with dementia? Yes, much better prepared Yes, somewhat better prepared I have not received any dementia training at this hospital 3. In your current role, do you think that personal information is available to you to help you care for/support people with dementia? E.g. their likes/dislikes, preferred name, past job HQIP 2018 4

3. a) Do you have the opportunity to use this information to help you care for/support people with dementia? Personal information is not available to me 4. In your current role, do you feel encouraged to accommodate the individual needs and preferences of people with dementia? E.g. taking time to speak and interact at the pace of the person with dementia, permitting them to walk around the ward 5. As a team, how often do you talk about the way you care for/support people with complex needs (including dementia)? Frequently Occasionally Almost never Never 6. Do you think the ward(s) you work on is able to respond to the individual needs of people with dementia as they arise? E.g. pain relief, personal care, toileting, mobility assistance I do not feel able to answer this 7. Is additional staffing support provided if dependency needs on the ward(s) you work on increase? I do not feel able to answer this HQIP 2018 5

Please add any additional comments/clarifications to your answers in this section (optional). Dementia care policies on your ward 8. Can the carers of people with dementia visit at any time on the ward(s) you work on? i.e. visits are not limited to normal visiting hours and may include mealtimes I do not feel able to answer this 9. Are night time bed moves for people with dementia avoided where possible on the ward(s) you work on? By night time bed moves, we mean bed moves between 8pm and 8am I do not work nights and/or do not feel able to answer this Please add any additional comments/clarifications to your answers in this section (optional). HQIP 2018 6

Nutrition and hydration 10. Do you think the people with dementia you care for/support, have their nutritional needs met while on the ward(s) you work on? 11. In the last week (except in emergency situations), were patients mealtimes kept free of any clinical activity on the ward(s) you work on? 12. Can you access finger food (i.e. food which can be eaten without a knife/fork/spoon) for people with dementia as an alternative to main meals? 13. Can you access snacks for people with dementia in between meals? 14. Are the nutrition and hydration needs of people with dementia communicated at handovers/safety briefings? HQIP 2018 7

Please add any additional comments/clarifications to your answers in this section (optional). And finally 15. Please give one example of how your hospital could improve the care/support of people with dementia (optional) (Please note: comments given here will be presented verbatim in your hospital s report, and may be used for illustrative purposes in the national report) Thank you very much for taking the time to complete this naire. Please return it to the National Audit of Dementia Project Team using the Freepost envelope provided. Please post your postcard separately. HQIP 2018 8