Telephone: 01604 614584. 10 February 2015. To find out more about our PICU services and meet the team, watch our videos below, 2023 - All Rights Reserved St Andrew's Healthcare, 2. Conditions were placed on the provider's registration that included the following requirements; that the provider must not admit any new patients without permission from the CQC; that wards must be staffed with the required numbers of suitably skilled staff to meet patients needs; that staff undertaking patient observations must do so in line with the providers policy; that staff must receive required training for their role and that audits of incident reporting are completed. Three patients told us that their planned activities had been cancelled. Some staff used the Mental Capacity Act to assess capacity for individual decisions. Company Information; FAQ; Stone Materials. The remaining staff (2%) were out of date with training. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. Staff told us that they dreaded coming into work and felt professionally vulnerable. Staffing levels at night were particularly low. Staffing was below the establishment number for five incidents reviewed. We found ligature risk and environment audits were undertaken every six months We saw that some ligature risks had been identified and there were contingency plans in place to manage these. Staff engaged in clinical audit to evaluate the quality of care they provided. Patients that have received a positive result can end their isolation before the 10 days if they have. Conservative 12. The service does not have a registered manager in post but does have a nominated individual as required, and a controlled drugs accountable officer. 5 October 2022. We were told that there were issues around maintaining staff on Fairburn ward who were trained in British sign language (BSL). Supervisions occurred monthly by peers rather than line managers in some areas. This equated to a fill rate of 89% against the provider target of 90%. The wards did not always have enough nurses. They understood and responded to their individual needs. Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition. Staff did not manage patient risks effectively. Urgent enforcement action was taken following the previous inspection because of immediate concerns we had about the safety of patients on the forensic inpatient or secure wards, long stay or rehabilitation mental health wards for working age adults and wards for people with learning disabilities or autism. We reviewed 21 care and treatment records for patients. Staff told us patients snack times on the ward were 11am and 4pm. Regulation 9 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Person-centred care. NN1 5DG. Staff did not always demonstrate the values of the organisation when supporting patients. Wards had examples of restrictive practices such as kitchens being locked and reliant on staff for hot drinks on Berkley close. the service isn't performing as well as it should and we have told the service how it must improve. W K irVJL^ l^l-V-rK^f-VJL/0 THE HI.STC:..- VITAL RECORDS :;DWiyl513^nOM ^ OF MANCHESTER \ Li::..A MASSACHUSETTS TO THE END OF THE YEAR I 849 PUBLISHED BY THE ESSEX INSTITUTE There remain issues around mixed gender accommodation on some older adults wards. Following our inspection, we served an urgent Notice of Decision because of the immediate concerns we had about the safety of patients. Daily checks of the ligature cutters were not always completed. Managers ensured that staff had relevant training, regular supervision and appraisal. There were ligature points in the psychiatric intensive care unit and the provider did not ensure all patients risk assessments and care plans included the management of specific environmental ligature risks. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. We're a specialist charity that invests in innovative, patient-centric, holistic care. On Bracken ward we observed two incidents where staff had kept the door of the toilet ajar when observing a patient in the day area. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. Senior leaders demonstrated learning by acknowledging that a lesson learnt was to ensure new services have the correct capabilities in place prior to opening and reported that they were making changes following concerns being raised. The service worked to a recognised model of mental health rehabilitation. Managers were visible on the wards and staff felt supported by operational managers and clinical nurse leads. However, this was not always the case with night staff on Church ward. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. Contact Research Funding Support Walter Bower House Guardbridge St Andrews Fife KY16 0US Scotland, United Kingdom Tel: Contacting the team Documents RBDC Team Structure (PowerPoint, 45 KB) Staff had not completed full assessments for patients with a diagnosed eating disorder prior to admission. Staff had not always recorded patients vital signs (in line with the National Institute for Health and Care Excellence (NICE guidance) when using rapid tranquilisation. Any other browser may experience partial or no support. Heritage ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent females with complex mental health needs. It has defined its key patient outcomes to be rapid stabilisation, crisis resolution, risk-reduction, prevention of relapse and promotion of recovery. Learning disability wards were part of the overall deregation project and were not suitable to meet patients needs, for example they were not accessible for patients with significant physical disabilities or requiring wheelchair access. Senior staff monitored incidents and discussed outcomes in team meetings. This service was placed in special measures on 10 June 2020. Since its establishment in 2012, we have grown to a team of more than 20 architects, interior designers and urban designers working collaboratively with stakeholders to deliver excellence at every level. At the time of the inspection, the provider had applied to change its registration with the Care Quality Commission to one location instead of multiple registrations across one site. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. This meant there was no consistency and managers could not be sure that supervisors were addressing performance issues. Sycamore ward, a 4-bed medium secure enhanced support service for women with learning disabilities and/or autistic spectrum conditions. Concerns identified at previous inspections had not always been addressed. Staff documented patients did not have capacity but did not give a rationale as to why they had made this decision nor document any discussion. Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. Our rating of this service improved. the service is performing exceptionally well. They told us this affected the quality of the service they received and restricted their engagement in planned therapeutic activities. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. Six out of nine patients said they had been involved in their care planning. Patients and carers reported that managers were dismissive of concerns raised. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. A relative we spoke with told us the team on the ward liaised well with her relatives professional team in their home area to ensure the care was effective and were accurately informed of their progress. Staff managed known risks with nursing observations and individual risk assessments. fruit), that there was a lack of healthy food options on the menus. They minimised the use of restrictive practices and followed good practice with respect to safeguarding. Here are some brief highlights of Dr. Richard Bayley's life: 1745 - Richard Bayley is Born in Fairfield CT. 1765 - 1769 - studied medicine under Dr. John Charlton, son of Reverend Richard Charlton, rector of St. Andrew's Episcopal church, Staten Island. It often occurred that staff were trained up to a level to work with patients, then moved to work on other wards. Staff made prompt referrals for any further specialist physical healthcare input. Four people told us that they liked the food but that the options could be improved. Peoples care and support was provided in an environment that was otherwise safe, clean, well equipped, well-furnished and well-maintained which met people's physical needs. In addition, at this inspection, we identified breaches in regulation 10, 12, 15, 17 and 18 but are related to different issues from the last inspection in 2021. Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. bayley ward st andrews northampton. Oak ward, a 10-bed medium secure service for women with learning disabilities and/or autistic spectrum conditions, Church ward, a 10-bed low secure service for women with learning disabilities and/or autistic spectrum conditions. Psychiatric intensive care unit, we spoke to four patients. We found staff did not always safely manage medicines and act on audit results on three services we inspected. Maple ward, a 10-bed medium blended secure service for women. Staff at the longstay rehabilitation service did not always uphold patients dignity in relation to medication and care. No rating/under appeal/rating suspended One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. Requires improvement At least one standard in this area was not being met when we inspected the service and Police were called to St Andrew's Hospital's Marsh ward at just before 6pm . We found culture had improved, and values of staff were better demonstrated between each other, their teams and caring for people. (later Organist at the University of St Andrews, Scotland) 2009 Oliver Waterer (later Organist at St. David's . Northampton, Patients had access to independent mental health advocacy. Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. 2022 lacrossemits; is randy owens mother still alive cz scorpion evo folding stock fde; cranberry juice for hangoverscant colloid thyroid nodule; 2006 playcraft powertoon; apartments near rivermark plaza; bayley ward st andrews northampton gotrax scooter not accelerating. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Staff were unclear about the definitions and terminology relating to de-escalation, restraint, seclusion, segregation and extra care. Staff did not always share clear information about patients and any changes in their care. Patients on the PICU did not have access to a lockable space in their bedrooms and they did not always have their room key. In wards for people with a learning disability or autism, seclusion occurred in areas other than a seclusion room and staff did not always record it correctly in line with the MHA Code of practice. This meant senior staff could move staff to where need indicated it was higher on some wards. Bayley, Hugh Beard, Nigel Begg, Miss Anne Bell, Stuart Benn, Hilary Bennett, Andrew Benton, Joe Berry, Roger Best, Harold Betts, Clive Blackman, Liz Blears, Ms Hazel Blizzard, Bob Blunkett, Rt Hon David Boateng, Rt Hon Paul Borrow, David Bradley, Rt Hon Keith (Withington) Bradley, Peter (The Wrekin) Bradshaw, Ben Brennan, Kevin Brinton, Mrs Helen 25 February 2014. 16 September 2016. This location consists of four core services: acute wards for adults of working age and psychiatric intensive care units; long stay/rehabilitation mental health wards for working age adults; forensic/inpatient secure wards; wards for people with learning disabilities or autism. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. Senior managers of the hospital and senior ward-based staff had taken steps to address a closed culture that was identified at our last inspection. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. St Andrews Healthcare Womens location has been registered with the CQC since 11 April 2011. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing . Staff ensured most patients needs were assessed and met within care plans. Staff told us when shifts were not filled, staff moved between wards to meet patient need or wards worked short of staff. We imposed conditions on the provider's registration that included the following requirements: Following this inspection, we wrote to the provider on 9 May 2022, to vary one condition to allow, from 10 May 2022, that St Andrews Healthcare Womens service may admit up to a maximum of 1 patient per week to each ward without seeking permission from the Commission. The admissions cannot be carried over to following weeks should an admission not occur. These groups are facilitated by Occupational Therapists, Psychology, Nursing, with sessions also by the Physical Health Nurse, Art Therapist and Advocacy. Staff provided a range of care and treatment interventions suitable for the patient group. Two patients told us that they often had to wait a while for repairs to be carried out, we saw that patients frequently raised repair issues during community meetings. Learning disability patients told us that the restrictions around the risk safety system made them angry. Berkeley Close (ground floor) is a female locked ward. She was born March 2, 1927 in Toronto, Ontario Canada, the daughter of William and Lena (Flowers) Page. We rated it as requires improvement because: Our rating of this service stayed the same. Browser Support Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. You'll be coming to a world-class facility with its own teaching hospital and academic centre. Staff were not completing risk assessments on Elgar ward, with information being copied between records for different patients. Patients had access to independent advocacy services. One of the long stay or rehabilitation wards, which supported patients with secondary needs associated with disordered eating, did not have access to a specialist dietician. 93%OFF 10OFF BOV2203AP ZETT cannabistrax.com Admission will be based on an individual needs assessment and in some cases patients may be admitted directly to a PICU. People with physical health issues such as epilepsy, did not have appropriate care plans to manage bathing. Staff did not always follow the providers policy and procedures on the use of enhanced support when observing patients assessed as being at higher risk harm to themselves or others at all core services. at Northampton are the Adolescents services, men's services, women's services and acquired brain injury . We also found that risk assessments and Care plans around this restraint were not always in place. The wards had enough nurses and doctors. Staff engaged in clinical audit to evaluate the quality of care they provided. MHA administrators had a thorough scrutiny process. Staff did not record or review seclusions appropriately when a person was secluded outside of the seclusion room, for example in their bedroom. One patient told us that the staff we have are amazing. Staff had reported a high number of drug errors in Willow ward. Staff restricted access to patients wishing to use their bedrooms, and this was not individually risk assessed. nira rodeo standings 2021 10, Jun, 2022. country mart warsaw, mo weekly ad; This was raised on numerous occasions in community meetings with no evidence of any action taken. Staff did not always identify and report safeguarding concerns. The service did not have enough nursing and support staff to keep patients safe at all core services. Please discuss this with the ward to arrange. Staff at these services were not reporting all incidents and not recording all incidents appropriately. Across all services, the provider was challenged to ensure staffing numbers met the needs of patients and we found in some cases, patient activities had been cancelled or postponed. Staff at the learning disability and autism wards were unable to define a closed culture or describe how they ensured patients were protected from the risks associated with a closed culture developing. We found staff did not always safely manage medicines and act on audit results on three services we inspected. On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. Nine out of fourteen self harm incidents reviewed occurred due to staff not completing enhanced observations as prescribed. There's no need for the service to take further action. On Oak ward, we found water stains in bathrooms and showers where water had been left to dry, because the drainage was not sufficient enough to allow the water to flow away. Frith has written dozens of books on both cricket in modern times and cricket of the past, mainly focussing on Ashes Test Match history. When restrictive practices were used, there was a reporting system in place and there were comprehensive reviews to try and reduce the use of these practices. Staff made every attempt to avoid using restraint by using de-escalation techniques and restrained patients only when these failed and when necessary to keep the patient or others safe. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare. any actions the Charity Commission has taken against the charity. Whilst managers and the health and safety lead had completed ligature audits for Spencer North and Sitwell wards within the last six months prior to inspection, there was no hard copy of the ligature audit and assessment available. Staff were confused about what constituted long term segregation and the purpose of using long term segregation. We told the provider they must provide immediate assurance in relation to staffing levels, staff completing enhanced observations of patients in line with National Institute of Health and Care Excellence guidance and staff reporting incidents and appropriate action is being taken. The shower areas upstairs did not provide comfort or promote dignity and privacy. Doctors and nurses did not complete records for all of the reviews as required by the Mental Health Act code of practice. Managers had not ensured a safe environment at the learning disabilities service. the service is performing badly and we've taken enforcement action against the provider of the service. Staff did not read patients their rights under section 132 of the Mental Health Act in some wards. News you can trust since 1931. . Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. The largest UK medium secure service for deaf men aged between 18 and 65 years old. New admissions will need to isolate and complete a lateral flow test. Staff did not always treat patients with kindness, dignity and respect. gotrax scooter not accelerating. Peoples care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. Nurse managers reported they received prompts from the providers training department when staffs mandatory training or refreshers were due. bayley ward st andrews northamptonlaconia daily sun obituaries. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published On our second visit we were assured that senior leaders had started to address the concerns and were providing the ward with the support needed. Forensic inpatient or secure wards have remained as an overall rating of inadequate. Any other browser may experience partial or no support. The behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. We had identified a similar issue in the June 2016 inspection. Staff had not completed the Elgar ward ligature risk assessment. Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. We found that the provider had taken account of our previous inspection findings and had introduced additional quality monitoring measures. This meant senior staff could move staff to where need indicated it was higher on some wards. Berkeley Lodge, 37 and 38 Berkeley Close and 19 The Avenue are locked units. Staff understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005. Wards had seclusion rooms, low stimulus rooms and extra care suites for patient use. the service is performing badly and we've taken enforcement action against the provider of the service. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. However, a significant number of shifts remained unfilled. the service is performing well and meeting our expectations. Staff had not always followed the providers policies and procedures when they needed to search patients or their bedrooms to keep them safe from harm. Staff did not manage risks to patients and themselves well. In the learning disability services significant blanket restrictions were seen for example cigarette breaks were taken hourly, drinks were at set times, access to bedrooms were restricted and no access to kitchens or sensory rooms unless accompanied by an occupational therapist. an inspection looking at part of the service. In total we spoke with ten patients. This meant that they were able to receive independent support to help them express their views and assist with any appeal against their detention under the MHA if they so wished. The service had appropriately skilled staff to keep them safe. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. Type of organisation Voluntary Sector Service Descripton of organisation In patient Out patient Residential miles (straight line) miles (approximate road distance) Entry last updated 29 December 2012. Whichhem. Staff on forensic inpatient or secure wards did not always undertake and record physical health observations following rapid tranquilisation. There were blanket restrictions on Sunley ward. The provider had plans to improve this, but these had not yet commenced. On Seacole ward, the furniture in the night lounge was torn and dirty. We rated St Andrews Healthcare Northampton as requires improvement because: Published Carers reported issues with communication and gave examples of having to battle to be listened to and be involved. Regulation 12 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safe care and treatment. Staff throughout the organisation were aware of how to report incidents and we saw good examples of staff learning from the investigation of adverse events. All staff we spoke with in learning disabilities services followed positive behaviour planning (PBS) and least restrictive practices. 258. People had a choice about their living environment and were able to personalise their rooms. Staff on the forensic, long stay rehabilitation and learning disability and autism wards did not always treat patients with compassion and kindness. Pleaseclick herefor more information andspecific contact details. Chinese Granite; Imported Granite; Chinese Marble; Imported Marble; China Slate & Sandstone; Quartz stone One ward team did not have access to a specialist dietician, which was required to meet the needs of patients. Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. Supervision was highlighted as an issue in learning disabilities, older adults and rehabilitation services. Staff did not always support patients physical health needs effectively at the longstay rehabilitation and forensic services. Levels of restraint significantly increased since the last comprehensive inspection across the forensic service. 13 February 2012. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. At Spring Hill House, we saw that refurbishments were taking place to the shower and bathing facilities. Overview Latest inspection summary This meant that due to staff redeployment to work on other wards the arrangements in place to ensure people were supported by appropriately qualified and skilled staff were not being effectively managed. Staff in forensic services did not always document fully what patients had been offered or received. Richmond Watson ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent males with complex mental health needs. Staff and patients reported a smell of sewerage in the ensuite bathrooms of some rooms. These older reports are from our old approaches to inspection, including those from before CQC was created. Menu. One seclusion room did not have a shower and whilst the provider had made progress in the processes to plan, fund and source a shower in the seclusion room, it remained without a shower. Staff did not always follow National Institute for Health and Care Excellence guidance for the use of rapid tranquillisation on Sunley ward. Feedback from the outcome of complaints was not shared with the complainant on all occasions. Staff received annual appraisals and most staff received regular supervision. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. Staff did not always demonstrate the values of the organisation when supporting patients. All patient bedrooms had ensuite facilities. the service is performing well and meeting our expectations. Staff had quick access to ligature cutters and pocket masks (for use in mouth to mouth resuscitation) in different areas of the wards. We reviewed seven incident reports. Heygate ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning disabilities / autistic spectrum disorder. Staff on forensic inpatient or secure wards reported a high number of incidents that required restraint and staff did not undertake searches in line with the providers policy. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. There's no need for the service to take further action. Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. However, Naseby in Northampton may be able to admit over the weekend, please contact the ward directly on the number below for an update.