last updated 31 March 2010
last updated 31 March 2010
last updated 31 March 2010
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DELIVERING SAME SEX ACCOMMODATION PLAN – <strong>last</strong> <strong>updated</strong> <strong>31</strong> <strong>March</strong> <strong>2010</strong><br />
ACTION<br />
EXECUTIVE<br />
LEAD<br />
LEAD<br />
MANAGER<br />
DATE<br />
DUE<br />
MONITORING<br />
GROUP /<br />
COMMITTEE<br />
PROGRESS<br />
RAG<br />
STATUS<br />
PATIENT EXPERIENCE<br />
Publish 2009 Acute<br />
Inpatient Survey about<br />
Mixed Sex Accommodation<br />
on Trust web site and<br />
follow up in DSSA Plan<br />
Publish <strong>2010</strong> Acute<br />
Inpatient Survey about<br />
Mixed Sex Accommodation<br />
on Trust web site and<br />
follow up in DSSA Plan<br />
Publish Essence of Care<br />
Audit on the Trust web site<br />
and follow up in DSSA Plan<br />
Process in place to track<br />
other methods of capturing<br />
DSSA patient experience<br />
from PALs, LinKs,<br />
complaints & compliments<br />
MS MJ <strong>March</strong><br />
<strong>2010</strong><br />
Quality<br />
Committee<br />
MS MJ July <strong>2010</strong> Quality<br />
Committee<br />
MS MC May <strong>2010</strong> Quality<br />
Committee<br />
MS MJ May <strong>2010</strong> Quality<br />
Committee<br />
Discussed at Trust Board and<br />
Quality Committee.<br />
Published on web site.<br />
Circulated for discussion at<br />
matrons meeting.<br />
DSSA leaflets and posters<br />
sent to all wards <strong>March</strong> <strong>2010</strong><br />
This survey commenced in<br />
January <strong>2010</strong> and will be<br />
completed on a monthly<br />
basis until July <strong>2010</strong><br />
The Trust is completing this<br />
audit as part of a random<br />
selection of providers of 24<br />
Hour service providers. It is<br />
due for completion in April<br />
<strong>2010</strong><br />
Review to commence in April.<br />
A<br />
A<br />
A<br />
DSSA Delivery Plan SABP / <strong>March</strong> <strong>2010</strong> Page 1 of 5
ACTION<br />
Patient Experience Tracker<br />
results to be regularly<br />
published on Trust web site<br />
and followed up in DSSA<br />
Delivery Plan<br />
EXECUTIVE<br />
LEAD<br />
LEAD<br />
MANAGER<br />
DATE<br />
DUE<br />
MONITORING<br />
GROUP /<br />
COMMITTEE<br />
JY CA April <strong>2010</strong> Quality<br />
Committee<br />
PROGRESS<br />
Since October 2009 all<br />
inpatients have been asked<br />
to complete a Patient<br />
Experience Tracker which<br />
includes questions about<br />
privacy and dignity<br />
RAG<br />
STATUS<br />
G<br />
ESTATES & USE OF<br />
ENVIRONMENT<br />
PROJECTS<br />
Challenge Fund projects at<br />
Albert and Victoria Wards<br />
DSSA Peer Review to be<br />
completed ASAP by<br />
Sussex Partnership NHS<br />
FT<br />
PEAT Action Plan Privacy<br />
and Dignity capital projects<br />
(including signage on<br />
bedrooms and bathrooms)<br />
PK IR / JR Sept 09 Executive<br />
Board<br />
PK JB April <strong>2010</strong> Quality<br />
Committee<br />
PK JB May <strong>2010</strong> Environmental<br />
Improvement<br />
Group<br />
Albert Ward completed in<br />
June 09. Victoria Ward<br />
completed in Sept 09.<br />
Sussex Partnership NHS FT<br />
cancelled the Peer Review<br />
scheduled for 9 <strong>March</strong>. We<br />
are pressing for a new date.<br />
PEAT Action Plan for<br />
2009/10 completed. New<br />
action plan for <strong>2010</strong>/11 being<br />
developed from PEAT audits<br />
and to include signage on<br />
bathrooms and bedrooms.<br />
A<br />
G<br />
Review layout of single sex<br />
accommodation and need<br />
for additional hard partitions<br />
for 4 & 6 bedded bays<br />
JY HW / EJ /<br />
JR / AE /<br />
BP<br />
June <strong>2010</strong><br />
Acute Care<br />
Forum<br />
Raised following feedback on<br />
Acute Inpatient Survey.<br />
Matrons to review ACU,<br />
DOP, Wingfield, and Windmill<br />
A<br />
Review layout of Meadows<br />
following CQC visit report<br />
JY EJ June <strong>2010</strong> Acute Care<br />
Forum<br />
Matron is reviewing privacy<br />
and dignity on the Unit.<br />
Bluebell Ward is now being<br />
A<br />
DSSA Delivery Plan SABP / <strong>March</strong> <strong>2010</strong> Page 2 of 5
ACTION<br />
Review use of female day<br />
room on Elgar Ward<br />
Epsom following CQC visit<br />
report<br />
Review female day room at<br />
Arreton Guildford and<br />
location of male / female<br />
bedrooms and bathrooms<br />
following CQC visit report<br />
Review Consultant Nurse<br />
Audit of Mixed Sex<br />
Accommodation which was<br />
completed in October 2008<br />
Capital business case<br />
template to include<br />
reference to Privacy and<br />
Dignity and DSSA<br />
EXECUTIVE<br />
LEAD<br />
LEAD<br />
MANAGER<br />
DATE<br />
DUE<br />
MONITORING<br />
GROUP /<br />
COMMITTEE<br />
JY EJ June <strong>2010</strong> Acute Care<br />
Forum<br />
JY HW May <strong>2010</strong> Acute Care<br />
Forum<br />
JY CS May <strong>2010</strong> Acute Care<br />
Forum / ACF<br />
PK CH April <strong>2010</strong> Capital<br />
Projects<br />
Assurance<br />
Group<br />
PROGRESS<br />
piloted as a single sex ward.<br />
Matron is reviewing privacy<br />
and dignity on the Unit and 2<br />
wards are due to become<br />
single sex from May <strong>2010</strong><br />
Matron is reviewing privacy<br />
and dignity on the Unit. A<br />
female day room has been<br />
identified.<br />
Audit circulated for<br />
discussion at Matrons<br />
meeting. Audit to be taken to<br />
ACF<br />
Template to be discussed<br />
and amended at April CPAG<br />
RAG<br />
STATUS<br />
A<br />
A<br />
A<br />
A<br />
SYSTEMS AND<br />
PROCESSES<br />
DSSA is monitored<br />
regularly at the Trust Board<br />
Any privacy and dignity /<br />
DSSA breaches to be<br />
investigated and reported<br />
to the Quality Committee<br />
DSSA Delivery Plan and<br />
any DSSA breaches to be<br />
reported to commissioners<br />
MS LM April <strong>2010</strong> Trust Board Reporting agreed at <strong>March</strong><br />
Trust Board. New reporting<br />
arrangements start in April<br />
<strong>2010</strong><br />
JY HW / EJ /<br />
JR / AE /<br />
BP<br />
April<br />
Quality<br />
Committee<br />
JY AS April <strong>2010</strong> Contract<br />
Meetings<br />
Monthly exception reporting<br />
in place and linked to PSR.<br />
Formal weekly breach<br />
reporting template in place<br />
and in use. DSSA Delivery<br />
G<br />
G<br />
G<br />
DSSA Delivery Plan SABP / <strong>March</strong> <strong>2010</strong> Page 3 of 5
ACTION<br />
DSSA Delivery Plan to be<br />
<strong>updated</strong> regularly, and<br />
monitored.<br />
Privacy and Dignity Policy<br />
refers to DSSA and<br />
includes a paragraph on<br />
remedial action<br />
DSSA ‘Estates Survey’<br />
February <strong>2010</strong> will be<br />
reviewed by the Operations<br />
Directorate<br />
EXECUTIVE<br />
LEAD<br />
LEAD<br />
MANAGER<br />
DATE<br />
DUE<br />
MS LM <strong>March</strong><br />
<strong>2010</strong><br />
MONITORING<br />
GROUP /<br />
COMMITTEE<br />
Quality<br />
Committee<br />
MS SC May <strong>2010</strong> Quality<br />
Committee<br />
JY JB May <strong>2010</strong> Acute Care<br />
Forum<br />
PROGRESS<br />
Plan progress reported to<br />
commissioners from April<br />
<strong>2010</strong><br />
DSSA Delivery Plan <strong>updated</strong><br />
30 <strong>March</strong> <strong>2010</strong>.<br />
Confirmation to be given<br />
Estates survey has been<br />
completed and submitted to<br />
DH and will now be reviewed.<br />
RAG<br />
STATUS<br />
G<br />
G<br />
A<br />
GOVERNANCE / STAFF<br />
CULTURE<br />
The Trust has articulated<br />
it’s commitment to deliver<br />
care with privacy and<br />
dignity and uphold the<br />
principles of DSSA<br />
Privacy and Dignity issues<br />
are monitored at FoCUS<br />
JG JG <strong>March</strong><br />
<strong>2010</strong><br />
Trust Board<br />
Discussed at <strong>March</strong> Trust<br />
Board and a specific<br />
statement has been made in<br />
the Annual Plan<br />
JY JY Bimonthly FoCUS Acoustic Confidentiality<br />
Progress reports<br />
G<br />
If a breach occurs staff will<br />
rectify the situation ASAP<br />
and keep the patient fully<br />
informed<br />
DSSA Declaration and<br />
Delivery Plan to be<br />
regularly <strong>updated</strong> on Trust<br />
JY HW / EJ /<br />
JR / AE /<br />
BP<br />
April<br />
MS SC <strong>March</strong><br />
<strong>2010</strong><br />
Quality<br />
Committee<br />
Quality<br />
Committee<br />
Plan to pick this through the<br />
Patient Experience Tracker<br />
Web site with DSSA<br />
Declaration and DSSA<br />
Delivery Plan <strong>updated</strong> <strong>31</strong><br />
A<br />
G<br />
DSSA Delivery Plan SABP / <strong>March</strong> <strong>2010</strong> Page 4 of 5
ACTION<br />
EXECUTIVE<br />
LEAD<br />
LEAD<br />
MANAGER<br />
DATE<br />
DUE<br />
MONITORING<br />
GROUP /<br />
COMMITTEE<br />
PROGRESS<br />
web site <strong>March</strong> <strong>2010</strong><br />
RAG<br />
STATUS<br />
Key to responsible staff:<br />
PK Pat Keeling JY Jo Young JB Jenny Beard HW Helen Wood<br />
JR Jayne Reynolds EJ Eugene Jones AE Andy Erskine SC Stephanie Cotgrove<br />
MS Mandy Stevens CS Cathie Salmon CH Christian Homersley BP Brian Palmer<br />
IR Ian Rollings DF Dominic Ford AS Ann Stevenson JG Julie Gaze<br />
LM Lisa Musselwhite MJ Martin Jones CA Colin Archer MC Martin Clark<br />
JG Julie Gaze<br />
DSSA Delivery Plan SABP / <strong>March</strong> <strong>2010</strong> Page 5 of 5
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