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Key Lines of Enquiry (KLOEs) - Coggle Diagram
Key Lines of Enquiry
(KLOEs)
Safe
People are protected from abuse and avoidable harm
Low Nursing Numbers
Increased nursing numbers
Increasing pressures on current nursing staff
Decreased pressures as workload distributed
Increased risk of error
Reduced pressures will result in reduced margins for error
Caring
Kindness, Respect & Compassion, Autonomy and Privacy & Dignity
Reduced time with residents - rushed
Increased time with residents - person centred care, autonomy and dignity applied
'Care' standard reduced - "people farming"
Standard of care high and maintained - people treated with dignity and person centred care practiced
Pressures felt - work load and time constraints, resulting in lack of kindness and compassion
Pressures reduced, leading to high quality of care delivery demonstrating kindness and compassion
Responsive
Timely access to care & treatment, dealing with concerns & complaints and focused on person centered care
Reduced time to focus on individual needs leading to errors in practice and 'missed' episodes resulting in ill health
Increased nursing professionals resulting in reduction in burden of tasks and ability to delegate appropriate tasks
Limited time to ensure person centered care is reviewed and monitored regularly to prevent generic care delivery
Workload appropriately delegated and monitored, improving care standards, delivery and monitoring
Effective
Demonstrate collaborative working, skills and knowledge, ability to assess needs and deliver treatment and monitoring outcomes
Limited resources and time to work with other professionals
Increased time to access resources or delegation of tasks to enable collaborative working
Limited time and increased pressures resulting in ineffective or compromised treatment and monitoring
Decreased pressures resulting in increased time to deliver and monitor care
Limited time to access resources to increase skills and knowledge
Increased staffing resulting in time to develop staff skills sets, knowledge base and access to training
Well Led
Demonstrate vision and strategy for the service, managing risk and performance, improvement & innovation, involvement and engaging staff
Risk increased by reduced nursing numbers and increased pressures on staff
Risk reduced by increasing nursing staff, therefore lowering workload pressures by 'spreading the load'
Effects on staff culture and morale as staff feel overwhelmed and unsupported
Staff feel safe and supported by good staffing numbers and leadership, therefore feeling more able to provide a good standard of care
Recognising the needs of the service and the issues that cause negatives effects on care/service delivery and identifying how this can be rectified