Morriston Park’s highest priority is to achieve excellence in residents services by providing personalized care in an environment which enables residents to enjoy life to the fullest. We aim at providing high quality, compassionate and holistic care to the residents and their families. Morriston Park strives for excellence as we continuously advocate on behalf of those entrusted to our care.
The primary purpose of our home is to provide high standards of care to residents requiring long term care services and to make each resident feel that they have found their "Forever Home"
Morriston Park’s highest priority is to achieve excellence in Residents programs and services by providing personalized care in an environment which enables Residents to enjoy life to the fullest. We aim at providing high quality, compassionate and holistic care to the Residents and their Families. Morriston Park strives for excellence as we continuously advocate on behalf of those entrusted to our care. The primary purpose of our home is to provide high standards of care to Residents requiring long term care services. Morriston Park is dedicated to the delivery of the highest standards of resident care and services through excellence, teamwork and integrity.
Our Vision is to be recognized as a Leader in providing personalized services and care.
1. Customer satisfaction and the fulfillment of the needs of our residents
2. Professionalism and respect for individuals
3. Dedication and commitment to our shared vision
CONTINUOUS QUALITY IMPROVEMENT INITIATIVE REPORT 2023-24
Team Lead- Karen Bolger DOC/ADMIN
Morriston Park is commitment to its Residents, Families, Staff and Community to improve quality through focused targets and actions
This report was done in conjunction with the feedback from one of our Residents
PROCESS TO DETERMINE PRIORITY AREAS:
When determining priority areas for quality improvement, we reviewed our performance related to quality of care using CIHI data, and information gathered during our Proactive Compliance Inspection in October 2023.
Performance will be compared to benchmarks to identify areas of opportunity in future years. Key areas will be provided to Resident Council and the Continuous Quality Improvement Committee (we are hoping that one of the Resident Council members will sit in on this committee) to seek their feedback and advice.
PROCESS TO MONITOR AND MEASURE PROGRESS, IDENTIFY AND IMPLEMENT ADJUSTMENTS, AND COMMUNICATE OUTCOMES
RESIDENT & FAMILY/CAREGIVER EXPERIENCE SURVEYS:
Morriston Park will measures resident experience using the “Quality of Life Survey”. This will be implemented in the home by end of November. A new improved survey has been developed (which was developed in conjunction with a Resident) and a survey option to complete online will be provided to the Families and Residents (if able)
Resident survey: Residents who are able, are given the opportunity to complete the survey annually. Resident can be aided to complete the survey from a designated staff member if so requested.
Family survey: Morriston will distribute the survey to Families annually. This will be emailed to families and a link to the online survey will be provided - to allow for electronic responses to survey.
Survey results: Results from the Residents/Families will be shared with Resident Council and Family Council (if applicable) as well as with Team Members and the Continuous Quality Improvement Committee. We will use Surge Learning SURVEY program to gather and analyze answers.
QUALITY IMPROVEMENT IN 2023-2024
Areas requiring Improvement
1) Resident/Family Satisfaction Survey
The home has developed a new tool to measure Resident/Family satisfaction which included an ability to complete the survey online - survey will be analyzed using an electronic format.
IDENTIFYING KEY AREAS REQUIRING IMPROVEMENT
The QOL survey will identify key areas required to improve the Resident/Family Experience.
2) To Reduce the Inappropriate Use of Anti psychotics
IDENTIFICATION OF RESIDENTS WHO BENEFIT FROM NON-PHARMACEUTICAL INTERVENTION
Team "huddles" after encounter of responsive behaviours- to identify triggers and identify non pharmaceutical interventions to deal with responsive behaviours.
Consultation and documentation form to be developed for all new antipsychotics ordered- team decision approach.
3) To Reduce Falls
To reduce Injuries related to falls.
EARLY IDENTIFICATION- IDENTIFYING RESIDENTS AT RISK
The home currently uses the RAI assessment for falls- but the home feels that an alternative and more complex evidence-based risk assessment tool should be implemented.
DECREASE THE IMPACT FALLS HAVE ON THE RESIDENTS
Promote use of Injury Site protection equipment- increased inventory of equipment
ENVIRONMENTAL IMPACT ASSESSMENT
The facility will do a daily walk around audits to identify and put into place corrective action in real time.
4) To Reduce Worsening of Pressure Ulcers
PREVENT CURRENT PRESSURE ULCERS FROM WORSENING-
Risk Assessment and Prevention of Pressure Ulcers Nursing Best Practice Guideline - Bates-Jensen Wound Assessment Tool (BWAT) to be added to the Electronic Health Record for weekly wound assessments (has been implemented)
PREVENTION- Increased emphasis on prevention of the development of Pressure Ulcers within our institution- Identify contributing factors to pressure ulcer development to prevent recurrence.
Pressure ulcer analysis- Through the close examination of each pressure ulcer incident will be able to determine cause and effect to identify contributing factors and prevent recurrence in the population.