bayley ward st andrews northampton
The provider as part of a national pilot, had developed a new clinical model (co-produced with staff and patients), which was a blended approach including low and medium security. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. We found some expired medicines in the clinic rooms on the wards, and that staff did not act on previous audits where this was found. Bayley, Hugh Beard, Nigel Begg, Miss Anne Beith, Rt Hon A J 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 Brake, Tom 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. Some people were not happy about being on the ward because they were detained their under the Mental Health Act 1983. Requires improvement (later Organist at the University of St Andrews, Scotland) 2009 Oliver Waterer (later Organist at St. David's . A second carer told us that staff keep us up to date, adding that they attend meetings and speak to both the social worker and care coordinator regularly. Staff did not always keep patients safe from harm whilst on enhanced observations. Staff reported incidents accurately and in line with the providers policy. Staff had completed physical health assessments for patients on admission accessed specialist healthcare providers when needed. Staff told us and plans showed that restraint was used as a last resort and staff tried to de-escalate and divert patients who were becoming distressed or agitated. We carried out this inspection in response to concerning information received through our monitoring processes. In adolescent services, one seclusion room had a faulty two-way intercom system. Staff did not follow correct infection control procedures in relation to coronavirus. This meant staff may not be clear what behaviour was expected in certain situation. Church ward is a low secure inpatient ward that can accommodate up to 10 children and adolescent males with neuro-disability / autistic spectrum disorder. Staff at the forensic service used derogatory and inappropriate language to describe patients. Please discuss this with the ward to arrange. The following services and wards were visited on this inspection: Acute wards for adults of working age and psychiatric intensive care units: This service was one of three hospital sites chosen by NHS England to pilot a blended setting of medium and low security levels, to reduce overall length of stay in hospital. 10 June 2020. 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. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. Sunley ward was not clean, bed linen was stained and smelly, and dirty linen was stored with clean linen. 7 August 2017, Published Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas, although the provider reported these immediately. If a patient has been discharged from their MHA detention at short notice, there may be a short period of time during which they remain on the PICU informally until an onward care plan and pathway is arranged. We were not assured that leaders had taken sufficient action to address concerns raised during the focused inspection of the forensic service in January and February 2020 or addressed concerns of the same themes identified at other service inspections in St Andrews Healthcare. There was no recorded evidence of staff and patients having an immediate debrief following an incident. Staff had not received the necessary specialist training for their roles on Sunley ward. The provider would pay these staff a bursary to support their training, following which they would return to work at St Andrews for a minimum of two further years. by | Jun 10, 2022 | steve kerr salary 2021 | university of georgia golf coach | Jun 10, 2022 | steve kerr salary 2021 | university of georgia golf coach Staff did not always follow the Mental Health Act Code of Practice in relation to seclusion, long term segregation and blanket restrictions. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition. Patients and staff told us that staff shortages often resulted in staff cancelling escorted leave, hospital appointments and activities across all cores services. St Andrew's Healthcare - Womens Service Quality Report Billing Road Northampton NN1 5DG Tel: 01604 616000 . Conservative 12. The door to the room did not lock and patients needing the toilet could enter. Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. Staff did not always provide patients with information about their rights under the Mental Health Act. The managers told us, and we saw the documents to show, they were offering an Aspire campaign, which supported healthcare support workers to undertake their nurse training. 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. Staff received annual appraisals and most staff received regular supervision. Managers had not notified CQC about seven out of eight safeguarding incidents and had not referred one to the local authority safeguarding team. Environments on wards for people with a learning disability or autism wards were not always maintained due to untimely responses to complete repairs and manage estates issues. Staff failed to maintain reliable systems, processes and practice around medicine management. Patients told us that due to high levels of bank and agency staff who did not know them caused them to be cared for and treated differently. Irene was also a member of the Sweetbriar Garden Club and British Wife's. Arthur; Trick, Kerith Lloyd Kinsey (1989), St. Andrew's Hospital Northampton: the first 150 years, 1838-1988, . We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding On most wards, staff updated patients risk assessments regularly and included patients individual needs. At both Thornton Ward and Spring Hill House the patients had expressed concerns about the heating not being suitable, for example bedrooms and communal rooms being either too hot or too cold. MHA administrators had a thorough scrutiny process. You'll be coming to a world-class facility with its own teaching hospital and academic centre. 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. The overall rating for this service has improved to requires improvement. the service is performing well and meeting our expectations. There's no need for the service to take further action. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. We told the provider that they must provide CQC with an update relating to these issues on a fortnightly basis. Professor Edward Baker We found staff did not always safely manage medicines and act on audit results on three services we inspected. Carers reported issues with communication and gave examples of having to battle to be listened to and be involved. Published Managers did not provide a safe environment for patients. On Seacole ward there were issues with controlling temperatures on the ward. Whilst managers booked agency staff to cover vacancies at short notice this resulted in staff who were often unknown and unfamiliar with the wards and the patients. . Blanket restrictions continued to be in place on most wards. However, safe staffing (a national challenge in the ongoing pandemic of COVID-19) and gaps in observations records remained an issue on forensic inpatient wards and remained a breach of regulation 12 and 18. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. Staff did not always follow the providers policy and procedures on all wards on the use of enhanced support when observing patients assessed as being at higher risk harm to themselves or others. We rated St Andrews Healthcare Womens service as inadequate because: Published In two services, care plans did not always reflect how to manage patients with physical health issues. 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. Billing Road, Northampton, Northamptonshire, NN1 5DG Staff had not followed the dysphagia care plan for one patient on Sitwell ward, which had resulted in a choking incident. Staff ensured most patients needs were assessed and met within care plans. Bayley Ward uses medication led model and follows the nursing approach of Safewards which incorporates: Depending on their mental state, patients will be engaged on a suitable OT programme to facilitate recovery. Supervisions occurred monthly by peers rather than line managers in some areas. The wards did not have adequate psychology and occupational therapy provision for people on the wards. please let us know your views, opinions, thoughts or ideas to help us continuously improve. At least one standard in this area was not being met when we inspected the service and, Find out more about our inspection reports, Child and Adolescent Mental Health Services (CAMHS). Wards had examples of restrictive practices such as kitchens being locked and reliant on staff for hot drinks on Berkley close. Staff cared for patients who presented with behaviour that challenged. Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. This meant people received compassionate and empowering care that was tailored to their needs. There remain issues around mixed gender accommodation on some older adults wards. 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. the service is performing badly and we've taken enforcement action against the provider of the service. Feedback from focus groups and information received through CQC also reported a bullying culture in some parts of the organisation. Staff completing extended periods of enhanced observations may be less likely to maintain the levels of concentration required to maintain patient safety. The PICU ward was affiliated to the National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU). 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. And are detained under the Mental Health Act 1983. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. We believe there's nowhere better to start your career than St Andrew's Healthcare. Staff provided a range of activities for patients and activities were available seven days a week. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Managers continued with the planned change despite training not being available, due to coronavirus restrictions, and the ward not being sufficiently resourced. The behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. an inspection looking at part of the service. 7: Sir William Wake 9th Bt 17681846 page . The service managed beds well so that a bed was always available locally to a person who would benefit from admission and patients were discharged promptly once their condition warranted this. At least one standard in this area was not being met when we inspected the service and, Find out more about our inspection reports, Child and Adolescent Mental Health Services (CAMHS). 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. Leaders did not always understand the issues, priorities and challenges the forensic and long stay rehabilitation services faced. Staff did not always keep patients safe from avoidable harm whilst on enhanced observations on the forensic wards and on the psychiatric intensive care unit. In response to a compliance action issued following our last inspection in November 2012, the provider demonstrated they were actively recruiting staff. Staff told us that rapid tranquillisation medication was administered most days. Staff had not always followed the providers policy on patient observations in two services. People benefitted from the interactive and stimulating environment, and the service endeavoured to make further improvements in providing sensory spaces for people on the wards. Staff did not always treat patients with kindness, dignity and respect. Staff we spoke with knew where information was, however, information was not consistently in the same place for each record. The ward was not resourced with equipment required to support patients with an eating disorder. Staff took part in a range of clinical audits, benchmarking and quality improvement initiatives. St Andrews Hospital is a mental health facility in Northampton, . We found staff did not always safely manage medicines and act on audit results on three services we inspected. Leaders at the long stay rehabilitation services did not have the skills, knowledge and experience to perform their roles. Blanket restrictions were also seen on the CAMHS units, for example on one ward young people were prevented from having sugar and there were restrictions around the length and time of day that young people could make telephone calls. the service is performing well and meeting our expectations. Male or Female Northampton (Out of office hours) -Please contact the relevant ward directly: There is now updated Covid-19 guidance for healthcare settings, which means there are some changes to the admissions and isolation processes affecting our patients: 1. However, we found the following areas of good practice: Published People had their communication needs met and information was shared in a way that could be understood. there are some services which we cant rate, while some might be under appeal from the provider. Staff did not receive annual MHA training and the provider could not demonstrate that staff had received training in the revised MHA code of practice. Peoples quality of life was enhanced by the services culture of improvement and inclusivity. A patient was in a distressed state for over an hour due to lack of specialist equipment. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. All patients we spoke to stated that they had been involved in the development of both their care and behavioural support plans. Patients could access garden areas and open spaces. Managers on the learning disability wards and forensic wards did not make sure staff received specialist training for their role. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. Patients on the PICU did not have access to a lockable space in their bedrooms and they did not always have their room key. There were gaps in records where staff had not signed the entries. Fenwick ward is a low secure inpatient ward that can accommodate up to 10 children and adolescents females with neuro-disability / autistic spectrum disorder. This included reviewing blanket restrictions, revising professional boundaries, introducing new meeting structures and ward rules. The service provided safe care. The service did not have enough nursing and support staff to keep patients safe at all core services. PBS care plans were available in paper form for staff to have easy access and in easy read for patients when needed, as well as on the electronic system. They were knowledgeable about the principles of PBS and were involved in observing behaviour and reporting to the multidisciplinary team to enable planning. 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. the service is performing exceptionally well. . We reviewed 22 out of 115 seclusion records from 1 April 2018 to 30 June 2018. Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. entry of bacteriophages and animal viruses into host cells. Staff stated that that the training offered by St Andrews was excellent. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. Staff did not record all the medicines they had disposed of. there are some services which we cant rate, while some might be under appeal from the provider. Use Rightmove online house price checker tool to find out exactly how much properties sold for in St Andrew's Road, Northampton, Northamptonshire, NN2 since 1995 (based on official Land Registry data). The clinic rooms were fully equipped and resuscitation equipment was checked regularly and recorded however not all wards had equipment. People made choices and took part in activities which were part of their planned care and support. On Seacole ward, the furniture in the night lounge was torn and dirty. Our rating of this location stayed the same. Staff knew and understood people well and were responsive. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. This ensured learning not just from their own ward but from other services. Patients had good access to physical healthcare when needed. The provider was not compliant with the Mental Health Act Code of Practice. Governance processes did not always ensure that ward procedures ran smoothly. There's no need for the service to take further action. The providers board had not authorised the use of mechanical restraint, in line with guidance, and staff had not followed care plans in relation to the reporting and monitoring of mechanical restraint. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. Overview Latest inspection summary Seclusion facilities were beingused for de-escalation and time out. However, we did find that improvements were needed to meet full compliance with the regulations in relation to the use of seclusion. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. The ward managers in the older adults service told us they felt supported in their roles and had excellent support from the directors of the service. A debrief is an opportunity for staff to reflect on the incident, review what action was taken, any immediate lessons learned and to offer support to patients and staff. 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. Learning disability patients told us that the restrictions around the risk safety system made them angry. The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced. This testing will be done from day 5. Managers did not always support staff with appraisals, supervision and opportunities to update and further develop their skills on the forensic and long stay rehabilitation wards. Staff did not provide a range of care and treatment options suitable for this patient group. Neurobehavioural Rapid Response -We have one male bed available today. The policy around such practice was ambiguous and this was confirmed by the records we viewed. We also issued requirement notices for breaches of the following regulations: At this inspection, we found that the provider addressed most of the issues from the last inspection of 2021. However, one patient told us that staff did not always consider the impact on patients who witnessed the use of restraint. This equated to a fill rate of 89% against the provider target of 90%. We would like to show you a description here but the site won't allow us. Child and Adolescent Mental Health Services (CAMHS) in Northampton is a Hospitals - Mental health/capacity specialising in the provision of services relating to assessment or medical treatment for persons detained under the 1983 act, caring for children (0 - 18yrs), caring for people whose rights are restricted under the mental health act, eating
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