A Service Re-Design Project to optimize its effectiveness and efficiency.

2. Diagnosis (issue) Broken Links Low Clients’ Satisfaction Low Staff Moral Service Audit Talking (Staff and Residents) Observation and Monitoring (Practices) Communication and Structural Failure

3. Culture/Structure

4. Culture CHANGE Team Development and Team Work (Resource Management)

5. Reflective Practice Management Team Nursing Team Domestic Team Carers Team Catering Team Person Centred Care

6. Monitoring and Evaluation Clients’ Survey Management Team Nursing Team Domestic Team Carers Team Catering Team Person Centred Care

7. Monitoring and Evaluation Staff Survey (http://www.hse.gov.uk/stress ) You are doing very well on the following stress factors: Demands, Control, Managers' Support, Peer Support, Relationships, Role, Change ( you are above the 80th percentile for these stress factors). We suggest that you set your own interim and longer-term targets for continuous improvement. Your Results Suggested interim Target Suggested Longer Term Target Demands 3.69 3.69 3.69 Control 3.97 3.97 3.97 Managers' Support 4.17 4.17 4.17 Peer Support 4.38 4.38 4.38 Relationships 4.26 4.26 4.26 Role 4.93 4.93 4.93 Change 3.94 3.94 3.94

8. Monitoring and Evaluation Staff Survey (http://www.hse.gov.uk/stress) Nursing Team Domestic Team Carers Team Catering Team Person Centred Care

10. CMS Project Presentation Q

11. ThankU