Telling Our Story:From Nursing Home in

Need to Nursing Home in the LeadMayfield

Staff Attitude Staff Tardiness/Absenteeism Staff Education Resident Emotional Comfort

Problem Lack of Cooperation Lack of Team Spirit

Changes Made More accountability, especially RN/LPN Evaluated all workers More support from leaders “Caught You Caring”

Barriers /Strategies◦ Old regimen did not want change◦ Staff convinced nothing would change◦ Intimidation of leadership making change

Result◦ Happier Staff◦ Happier residents◦ True team spirit developed

Problem Came in late all the time Called off whenever wantedChanges Made Found out why calling off or coming late Followed write up policy very deligently Completed survey “If this perfect World” Started flex schedule

Barriers /Strategies◦ No one was tracking before◦ Working with staff to do write ups and serve

suspension days Result

◦ Absenteeism down◦ Went from widespread to predictable◦ Staff can now depend on each other

Problem Inservice program lacking under prior

leadership No competencies under prior leadershipChanges Made Purchased computer based inservice program Presented in person supplemental inservices Started scheduled competencies Mailbox with educational infomation

Barriers /Strategies◦ Was not priority with staff◦ Lot of “catching Up” to do

Result◦ 100% improvement◦ Raised level of expectation◦ Staff now requesting additional inservice◦ Greater “hands on” competency

Problem Residents did not feel their concerns were

addressed with prior leadership

Changes Made Department Heads – Guardian angel

program Concerns addressed twice daily “Caught You Caring”

Barriers /Strategies◦ c/o before and nothing happened◦ Needed to build up resident trust that things were

different

Result◦ Resident freely reporting problems to guardians◦ Problems handled with resulting happier staff and

residents◦ Positive comments from residents, families,

hospitals, physicians and others

The following overall results have been achieved due to the changes made over the last months:◦ Pressure Ulcer rates down◦ Staff satisfaction way up◦ Residents happier◦ Hospital readmissions down◦ MDs more confident with staff◦ Hospitals have seen improvement in care

Corporate support has been wonderful throughout the entire project. Consultants have been available and check in weekly to help with projects and praise success. The leadership changes have really helped to make this a huge success. Lessons learn continue to be implemented as we go forward.

The momentum continues to build. Staff realize that they are an integral and important part of the facility. They realize they are valued as the residents are. Together we are all working to make Mayfield Care the best place to live and work.

Advancing Excellence: www.nhqualitycampaign.org

LANE:  LBridwell@ilqio.sdps.org

Mayfield : Brenda Dunlop (773) 261-7074

www.mayfieldcarecentre.com