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Welcome
Implementing Safewards Interventions – Clear
Mutual Expectations
Glenbourne Unit - Livewell Southwest
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Registered charity no. 252892. Scottish charity no. SC039245.
Welcome
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What is Safewards?
Safewards is an evidence based clinical model
that introduces a number of interventions that
increase safety and reduce coercion, improves
relationships between staff and patients,
resulting in fewer assaults, making wards more
peaceful places.
Registered charity no. 252892. Scottish charity no. SC039245.
Clear Mutual Expectations
An intervention formulated to reduce conflict
that may be caused about a lack of clarity about
how patients are expected to behave, or a lack
of consistency between the staff.
These expectations work both ways – staff have
expectations of patients, and patients have
expectations of staff.
Registered charity no. 252892. Scottish charity no. SC039245.
Registered charity no. 252892. Scottish charity no. SC039245.
Development – Patient Input
Discussion was held at a patient community
meeting about what their ideas were around
expectations.
They highlighted that they expected to be
treated with respect, and that their care was not
discussed in communal areas.
Registered charity no. 252892. Scottish charity no. SC039245.
Development – Staff Input
A discussion was then held between staff
around what they believed to be the
inconsistencies that cause the most conflict on
the ward.
This included giving out lighters, the availability
of staff for periods of escorted leave, items
going missing and prohibited items being found
in patients possession.
Registered charity no. 252892. Scottish charity no. SC039245.
Clear Mutual Expectations
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Everyone that comes onto the ward can be expected to be treated with respect. Patients can expect that the staff will
be polite and respectful to them, and that other patients will also be respectful. Verbal abuse, threats, racist or
homophobic comments, bullying and violence have no place on our ward and will be reported to the police. Shouting
at or making others uncomfortable in any way is not acceptable.
We can all expect others to be tolerant of our behaviour when we are ill, and be patient with us. Offer support to each
other, but be mindful that some people may wish to be left alone, in which case, please do not be offended.
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Staff will respect your right to confidentiality and will not discuss patient’s care in patient areas.
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Everybody needs to look after themselves and assist in keeping the ward clean and tidy.
The nursing staff will deal with patients requests in a timely and efficient way. Staff will ensure that rationale for any
decision is explained to you. Any delay in dealing with a request will also be explained.
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Patients are asked to be aware of their actions whilst off the ward may have an impact on their treatment plan.
Especially with regards to the use of drugs and alcohol.
We ask that patients do not bring in any prohibited items onto the ward. Patients will not bring drugs or alcohol onto
the ward, consume them here, or give them to another patient for them to consume. All patients will be searched on
their arrival to the ward, and following any periods of leave. Any drugs or alcohol will be disposed of as per trust
policy. Staff will report drug possession to the police.
We ask everyone not to smoke on the ward. The designated smoking area for patients is the garden. There is a wall
mounted lighter available. No lighters will be given out.
We will all respect each other’s property, not taking or borrowing anything without permission, not damaging anything
belonging to anyone else, including the ward furniture, fittings and equipment. Patients prohibited items will be kept in
a store cupboard near their bedspace. All electronics need to be charged in designated area (cupboard in the main
reception area).
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If someone wants to watch the television, please ask those around you whether it is okay to change the channel.
Protected time is between 12:30 and 3:00pm. This is when there is more staff present to support patients off the ward.
If you would like to take leave then please request this in the morning, so that proper arrangements can be made.
Registered charity no. 252892. Scottish charity no. SC039245.
The clear mutual expectations have been
printed on coloured paper, and placed in
important areas around the ward including the
main entrance to the ward, the main communal
area and patients bedspace.
These expectations will be discussed with
patients early on in their admission.
Registered charity no. 252892. Scottish charity no. SC039245.
Strengths of Intervention
• Clear expectations, that are easily accessible
for all staff and patients.
• Everyone is aware of what is expected of
them.
• Increase consistency between staff.
Registered charity no. 252892. Scottish charity no. SC039245.
Weakness’ of Intervention
• Staff and patients are not always consistent in
implementing agreed expectations.
• Intervention takes time to implement and
adopt into ward culture.
Registered charity no. 252892. Scottish charity no. SC039245.
Results
Since implementing the mutual expectations at
the beginning of the month, we have noted a
reduction in verbal aggression towards staff.
The ward are currently documenting each
incident of aggression/self-harm using a “safety
cross”.
Registered charity no. 252892. Scottish charity no. SC039245.
• Our clear mutual expectations were posted
onto our Twitter account. We received
feedback from Safewards who identified that
restraint could be see as an act of violence
that is not reported to the police. As a result
of this we plan to amend the wording of this
in our mutual expectations.
Registered charity no. 252892. Scottish charity no. SC039245.
Next Steps
• Introduce mutual expectations into the
welcome pack available for patients, carers
and visitors.
• Introduce mutual expectations into the
operational policy for the unit in order to
adopt this as part of the units culture for all
staff working there.
Registered charity no. 252892. Scottish charity no. SC039245.