“It’s not often that we focus on the good things that we’re doing. But when we did, it was a real motivator for us all. Staff endeavoured to improve things for our inpatients by working hard to introduce the Star Ward ideas. It was a case of that age old feeling that it feels good to be valued. The process of benchmarking and action planning was the proof that we were doing this and heading in the right direction.”
– Ward Manager (read more)
The Star Wards community adopts and adapts our portfolio of 75 practical ideas to validate their existing good practice and to inspire further development. The 75 ideas aren’t formal standards and we don’t carry out inspections; instead, we encourage self-evaluation. You can keep track of the ideas you introduce with the benchmarking sheet.
Each one of the 75 ideas is incredibly demanding (well, not so much the very first one with TV/DVD, but all the others!) so it is incredibly impressive when wards do manage to have all the relevant ideas in place. All wards that manage to have all (relevant) 75 in place, often by creatively adapting the basic ideas, are eligible for our Full Monty Award.
From little to large changes through:
‘Tweaking’ suggestions require minimal changes to current staffing arrangements, at little or no cost.
‘Turning’ suggestions take things further and require some staffing changes and new resources.
‘Transforming’ suggestions are the biggies – ideas which probably require the most investment.
- RECREATION & CONVERSATION01
- PHYSICAL HEALTH & ACTIVITY02
- CARE PLANNING04
- THERAPIES & SELF-CARE05
- WARD COMMUNITY06
- PATIENT RESPONSIBILITY07
RECREATION & CONVERSATION
1. Each ward has sufficient board games, a TV with Freeview and DVD player
2. Volunteer(s) on ward for at least 3hrs/day
3. Decent ward and hospital libraries, including novels and magazines
4. Bank staff recruited specifically for their skills in group activities
5. Domestic staff are encouraged and supported to interact with patients
6. Getting hospitals non-medical staff involved (catering staff, admin, management).
7. Hospital volunteer co-ordinator appointed
8. Artwork commissioned
9. Cooking by patients
10. Activity co-ordinator assigned for each ward
11. Community groups hold regular sessions in hospital
12. Internet connection (ideally WIFI) accessible by patients
13. Hospital has gym, multi-sensory room, library, music room, computer room, multi-faith prayer and chill out room
14. Regular comedy evenings
15. Community Service Volunteers support social activities
PHYSICAL HEALTH & ACTIVITY
16. Each ward has an exercise bike and/or treadmill
17. Patients can meet individually with dietician and/or pharmacist
18. Walking groups
19. Half an hour of exercises each day, led by suitably trained person, possibly a volunteer
20. Advice and encouragement for healthy eating and giving up smoking available on all wards
21. Gardening by patients
22. A physio or sports trainer runs group and individual exercises
23. All patients who want one leave hospital with exercise plan
24. Optional physical health checks
25. Written info about visiting arrangements given on first day
26. Family/friends links nurtured
27. Private visiting room
28. Nice mags and games for visitors room
29. Flexible visiting hours
30. Good info for visitors and carers
31. Help with visits, e.g. with phone calls
33. Visitors budget, managed by patients
34. Friends, family and carer’s support groups
35. Visits arranged for the visitorless
36. 5 day structure used, with different topic each weekday
37. Minimum ¼ hour with key worker or another member of staff to discuss these
38. Employment status recorded on admission
39. Designated member of staff with care planning remit on 9-5 weekdays
40. Benefits advice
41. Leaving pack
42. Quick-ticks for note taking
43. Personal recovery file for each patient
44. Patients can, but don’t have to, take the lead in care planning
THERAPIES & SELF-CARE
45. Self-help books and CDs.
46. ‘Protected time’ for nursing staff, for uninterrupted patient contact.
47. Women’s and men’s groups
48. Psychology Assistant for each ward.
49. Weekdays, at least one member of staff on duty has counselling qualification (or equivalent).
50. Each patient has option of at least one hour of therapy a day.
51. Full day’s programme of therapy groups available.
52. Placements for student counsellors.
53. Individual psychotherapy for everyone who needs it.
54. On-ward and crossward involvement of OT’s and creative therapists.
55. Core programme of activities on and off ward.
56. Personal Recovery Workbook
57. Each ward has mini library of MIND publications and hospital has full range
58. Day begins and ends with ward community group
59. Prayer, faith and cultural meetings are supported
60. ‘Buddy system’ encouraged
61. Patients are encouraged to support each other
62. Different faith communities’ festivals are celebrated
63. Patients’ mutual support after hospital
64. Each ward has recreation budget that patients decide on
65. Patients run ‘special interest’ sessions in own or other wards
66. No more queuing for medication!
67. Patients write own profile for staff
68. Patients have copies of their care plans
69. Responsibility for keeping ‘public’ patient information displayed up to date
70. Patients’ appointment diaries
71. Ex-patients involved in staff recruitment and recruited as staff
72. Patient involvement in how the ward is run.
73. Patients do daily self-review
74. Each patient has ‘recovery budget’
75. Patients extend stay by day or 2 to support new patients