In order to reduce the level of risk and ensure positive clinical outcomes for patients and staff it was decided to introduce a new system known as ‘Zonal Engagement and Observations’, which aimed to ensure appropriate observation of individual patients without the need to assign particular nurse to be in close proximity to the patient for long periods of time. Zonal observations and engagement aims to provide patients with increased activity and therapeutic engagement and to assess patient’s mental and physical health and document this in real time.