We found culture had improved, and values of staff were better demonstrated between each other, their teams and caring for people. Consultants did not always accurately complete medication consent paperwork (T2 and T3 forms). Staff in forensic services completed regular ligature risk assessments and wards contained very few ligature risks. the service is performing badly and we've taken enforcement action against the provider of the service. Compton Ward | AccessAble We saw patients views were included in care plans and this included relatives where appropriate. Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. Billing Road, Northampton, Northamptonshire, NN1 5DG. We rated St Andrews Healthcare Northampton as requires improvement because: Published The shower areas upstairs did not provide comfort or promote dignity and privacy. News you can trust since 1931. . the father who moves mountains son found; babyganics shampoo + body wash; why is canada's literacy rate so high Care plans were comprehensive and holistic, and contained a full range of patients needs. Most patients did not have a copy of their care plan or knew what their goals were. Two services did not make timely repairs to the environment when issues were raised. 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. Patients could access garden areas and open spaces. However, a significant number of shifts remained unfilled. Our team are expert in treating people with acute mental illness and complex needs, offering a range of group and individual therapeutic interventions to meet the patients needs at different stages of their recovery, including: Once risk is reduced and the patients mental state and behaviour has been stabilised, transfer to an appropriate facility will take place we focus on moving individuals on to these services and back in to less secure or community setting as soon as possible. Staff did not always complete observations in line with patient care plans and the providers policy and procedures. 1998-2011 Richard Tanner (from All Saints' Church, Northampton) 2011-2019 Samuel Hudson; 2019- John Robinson; Organist in . People and those important to them, including advocates, were involved in planning their care. A patient is assessed as posing a significant risk of suicide and the patient is unresponsive to preventative measures available, Absconding patients who are detained under the MHA 1983, for whom the consequences of persistent absconding are serious enough to warrant treatment in the PICU, Unpredictably patients, potentially posinga significant risk to self or others and requiring further assessment. The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced. It was also revealed that four patients had died on one ward between October 2010 and May 2011 and that all had been prescribed Clozapine. There were gaps in records where staff had not signed the entries. We were told that there were issues around maintaining staff on Fairburn ward who were trained in British sign language (BSL). Regulation 18 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Staffing. Staff completed patients risk assessments in a timely manner and updated these after incidents. Nine out of fourteen self harm incidents reviewed occurred due to staff not completing enhanced observations as prescribed. Pipe Organ Database | Add Organ Revision Staff had not escalated these issues to estates management, leading to an unpleasant environment for patients. Reports under our old system of regulation. Most wards were safe, visibly clean, homely and well furnished. The Pipe Organ Database is the definitive compilation of information about pipe organs in North America. 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. Some staff did not demonstrate understanding about appropriate use of seclusion facilities in the learning disability services. Let's make care better together. Staffing levels at night were particularly low. bayley ward st andrews northampton - bbjtoysandbeauty.com 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. Heygate ward Male PICU N'ton Tel: 01604 616 111 Email: SAH.PICUMaleNorthampton@nhs.net, Bayley ward Male PICU N'ton Tel: 01604 614 584 Email: SAH.PICUMaleNorthampton@nhs.net, Audley ward Male PICU Essex Tel: 01268 723 930 Email: SAH.PICUMaleEssex@nhs.net, Frinton ward Female PICU Essex Tel: 01268 723 860 Email: SAH.PICUFemaleEssex@nhs.net, Benfleet ward - Male ACUTE Essex Tel: 01268 723 934 Email: SAH.ACUTEMaleEssex@nhs.net, Naseby ward - Male ACUTE Northampton Tel: 01604 616 179. This ensured learning not just from their own ward but from other services. 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. Sitwell ward was not following St Andrews Seclusion policy with regard seclusion reviews with patients. Staff had not maintained patients dignity. Supervision was highlighted as an issue in learning disabilities, older adults and rehabilitation services. Dr. Richard Bayley Timeline - "A life of great usefulness" Two patients told us that they felt the service could benefit from more staff as staff tend to focus more on the patients with the highest support needs. Staff kept some information in paper format. 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. Last year it said improvements . Staff had not always followed the providers policy on patient observations in two services. National Brain Injury Centre, St Andrew's Healthcare Staff provided a range of care and treatment in line with best practice and national guidance (from relevant bodies e.g. Severely autistic girl locked in 12ft hospital 'cell' for 21 months and It is envisaged that all PICU patients would be detained under the Mental Health Act (MHA) 1983, as admission and detention in a locked PICU environment constitutes a fundamental loss of freedom for an individual. Patients and staff told us that staff shortages often resulted in staff cancelling escorted leave, hospital appointments and activities across all cores services. Nurse managers reported they received prompts from the providers training department when staffs mandatory training or refreshers were due. St Andrews Jobs in Northampton - 2022 | Indeed.com 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. 25 February 2014. Staff restricted access to patients wishing to use their bedrooms, and this was not individually risk assessed. The provider had ongoing recruitment and retention programmes to attract new staff. Four patients told us that there was a lack of health food options and that the quality of the food was variable. Requires improvement A range of psychological therapies recommended by the national institute for health and care excellence was available for patients. the service is performing well and meeting our expectations. The new ward manager and operational lead had recently started in their posts. Armed police called to Northampton hospital children's ward after Staff did not always ensure patients physical healthcare needs were met at the psychiatric intensive care, forensic and long stay rehabilitation wards. 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. 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. St Andrew's Hospital - Wikipedia The provider reported that the frequency of incidents had reduced following our inspection visits. And are detained under the Mental Health Act 1983. Staff had completed person centred and holistic care plans for 20 patients reviewed. The average price for a property in St Andrew's Road, Northampton, Northamptonshire, NN2 is 155,000 over the last year. 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. Billing Road, Northampton, Northamptonshire, NN1 5DG We saw that staff in the neuropsychiatry services and PICU were using tablet computers to monitor outcome measures electronically while on the ward which meant that they saved time by not returning to the desktop computer and logging into the electronic note system. Feedback from focus groups and information received through CQC also reported a bullying culture in some parts of the organisation. If you have used our PICU services. 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. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.The service will be kept under review and if needed could be escalated to urgent enforcement action. Chief Inspector of Hospitals. Not all groups of staff felt engaged with the developments and changes to the service. Staff had reported a high number of drug errors in Willow ward. the service isn't performing as well as it should and we have told the service how it must improve. 2023 - All Rights Reserved St Andrew's Healthcare, Governance, CQC ratings and Annual reports, Child and Adolescent Mental Health (CAMHS), Information for family, friends and carers, LightBulb Mental Wellness for Schools Program, Centre for Developmental and Complex Trauma, Significant risk of harming themselves or others. When reception staff were away from their desk, access to the building was delayed for patients. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. 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. Your information helps us decide when, where and what to inspect. any actions the Charity Commission has taken against the charity. Wards had a range of rooms for care and treatment and rooms for patients to meet visitors in private. A mental health hospital in Northampton has been stopped from admitting new patients on some of its wards following a damning CQC report. Practice nurses from the GP surgery attended the wards to address patients physical healthcare needs. For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. During our visit, we witnessed several occasions where staff responded to patients distress and they did so discreetly and appeared to be always mindful of the patients dignity. People received kind and compassionate care. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. Staff did not follow correct infection control procedures in relation to coronavirus. Hotel and Leisure. We also found that risk assessments and Care plans around this restraint were not always in place. Staff did not always create care plans for physical healthcare conditions. Peoples care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. Staff told us they knew the whistleblowing policy and felt they could raise concerns without fear of victimisation. Staff engaged in clinical audit to evaluate the quality of care they provided. The neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. However, one carer told us that there had been problems with communication, adding that no one had sought the families opinion. Tallis, Tavener, Althorp, Berkeley Close (1st floor) are male locked wards. Harper specialist ward for male and female patients with Huntingdons disease. Patients should be detained under the MHA 1983 (all section papers are checked before accepting admission) and patients are not admitted under section 136. Facilities and premises used on Elgar and Spring Hill wards were not appropriate for the service being provided. There was little evidence that patients or their carers were actively involved in writing or reviewing their care plans on the learning disability wards. gotrax scooter not accelerating. cio facial expressions test; uk employee working remotely from another country; blue yeti not showing up on blue sherpa; town of enfield ct tax bill search and pay Good This meant senior staff could move staff to where need indicated it was higher on some wards. Northampton, We told the provider that they must provide CQC with an update relating to these issues on a fortnightly basis. Staff had not completed seclusion and long-term segregation care plans for all patients. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. At least one standard in this area was not being met when we inspected the service and We found that the space on the older adults wards was a challenge to make feel homely, however we saw they had utilised the ends of corridors to create small areas of interest. Staff communicated with people in ways that met their needs. Some records had part of the paperwork uploaded. Managers ensured that these staff received training, supervision and appraisal. the service isn't performing as well as it should and we have told the service how it must improve. We found gaps in observation records. We rated it as requires improvement because: Published The wards did not always have enough nurses. Managers had not ensured established optimum staffing levels on all shifts. Governance processes did not always ensure that ward procedures ran smoothly. It often occurred that staff were trained up to a level to work with patients, then moved to work on other wards. Two carers told us that the social worker was helpful and another two told us their relative was in the right place for the care and treatment they needed. 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. The behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. However, we reviewed evidence that staff checked quality and temperature before serving food. We found examples of poor record keeping of handovers. Staff did not always treat patients with kindness, dignity and respect. Our rating of this location improved. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. In total we spoke with ten patients. However, the provider does have various avenues through which staff can raise grievances and concerns. John Reader 09 Jan 1822 Terrington St Clement, Norfolk, England - 08 Feb 1899 managed by James LaLone . The provider told us they shared learning from incidents via alerts sent by email. Staff did not always ensure that both paper and electronic medicine records were accurate, up to date and correctly identify how staff should give medicines to patients. Forensic inpatient and secure wards: all patients told us that they had received advice regarding their medications. Managers were visible on the wards and staff felt supported by operational managers and clinical nurse leads. Staff managed known risks with nursing observations and individual risk assessments. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Staff administered backslaps and dislodged the food. 30 October 2018, Published Sycamore ward, a 4-bed medium secure enhanced support service for women with learning disabilities and/or autistic spectrum conditions. Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition. We rated it as requires improvement because: Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published A patient was in a distressed state for over an hour due to lack of specialist equipment. Staff did not always record details of restraint techniques used. Staff did not always identify and report safeguarding concerns. We will publish a report when our review is complete. We found in the older adults services that care plans were detailed, personalised and accurate to the care we observed being provided. Patients had access to independent mental health advocacy. bayley ward st andrews northampton Staff at the forensic service used derogatory and inappropriate language to describe patients. Staff did not record or review seclusions appropriately when a person was secluded outside of the seclusion room, for example in their bedroom. Physical healthcare services included dentistry and podiatry. The provider was required to provide CQC with an update relating to these conditions on a fortnightly basis. This posed a risk to staff and patients if staff were following two different approaches. The provider had procedures for children visiting. the service isn't performing as well as it should and we have told the service how it must improve. However, six patients told us that there were often not enough staff on the ward, another patient said the number of staff on duty on the day of inspection was fake adding that half the staff dont work on this ward. Staff completed annual physical health assessments for all patients and completed standard physical health checks. There's no need for the service to take further action. Chinese Granite; Imported Granite; Chinese Marble; Imported Marble; China Slate & Sandstone; Quartz stone the service is performing badly and we've taken enforcement action against the provider of the service. Goals for recovery, including an estimated date of discharge from the PICU, will be set as part of the admission process. bayley ward st andrews northampton - domenicoludovico.com They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. due to sexual disinhibition or over-activity) in the context of a serious mental illness. The service did not have enough appropriately skilled staff to meet peoples needs and keep them safe, which meant some activities such as leave could not go ahead. Feedback from the outcome of complaints was not shared with the complainant on all occasions. (later Organist at the University of St Andrews, Scotland) 2009 Oliver Waterer (later Organist at St. David's . At this inspection, wards for people with a learning disability or autism and long stay or rehabilitation wards for adults of working age have improved the overall rating from inadequate to requires improvement. Forensic inpatient or secure wards have remained as an overall rating of inadequate. John Clare ward is a low secure inpatient ward that can accommodate up to nine children and adolescent females with complex mental health needs. The provider managed quality and safety using a variety of tools. the service is performing well and meeting our expectations. Some staff did not know how to access peoples care records on the electronic records system. bayley ward st andrews northampton. Adolescent service St Andrews Healthcare Northampton Services we looked at: Wards for people with learning disability or autism Adolesc ent ser vic e St Andr ws He althc ar . There were high numbers of vacant posts. Staff on long stay rehabilitation wards did not always know what incidents to report and how to report them, however staff in the other services we inspected did know what to report and how. Staff developed a comprehensive care and personal behavioural plan for each patient that met their mental and physical health needs. Irene was a home-maker. The multi-disciplinary team had not conducted reviews as required. Each ward had a book dedicated to learning from incidents and complaints generated across the hospital site. Patients told us that there was not enough food, catering staff did not send meals or sent the wrong meals, food was sometimes "mouldy" and was not always cooked properly. Managers said they felt supported and staff said they felt valued. Staff were not always updating patient risk assessments and care plans at the psychiatric intensive care and long stay rehabilitation wards. We were concerned that staff were not reporting all safeguarding concerns to the local authority safeguarding team at the forensic and psychiatric intensive care services. 27 March 2017. Staff told us that rapid tranquillisation medication was administered most days. Inspection Report published 25 February 2014 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Patients admitted to a PICU will have behavioural challenges which seriously compromise the physical or psychological wellbeing of themselves or others, and cannot be safely assessed or treated in an open acute inpatient facility (usually a general adult inpatient mental health ward). We were told that some agency staff and some bureau staff did not have access to the electronic notes system meaning that patient information would not be readily available in an emergency. 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. Northampton, Staff used clinical and quality audits to evaluate the quality of care. We saw that some staff had different supervisors each month. Senior Staff Nurse - Deaf Service Job in Northampton, ENG at St Andrew bayley ward st andrews northampton - ristarstone.com an inspection looking at part of the service. This meant staff could not find the most up to date plan of how to care for people using the service. If patients did not understand their rights, staff did not always make further attempts. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Staff working in the neuropsychiatry services had an understanding of current NICE guidelines. Staff did everything they could to avoid restraining people. 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. bayley ward st andrews northampton - meritageclaremont.com We looked at the Mental Health Act paperwork for patients and found it to be accurate and complete in all sections. We rated it as requires improvement because: Our rating of this service stayed the same. The patients' comments were overwhelmingly positive with lots of activities in the unit particularly, pamper sessions where they could get their nails done and access foot spas. bayley ward st andrews northampton - Big Bang Blog 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 Patients alleged that staff on Sunley ward used inappropriate restraint techniques. St. Andrews Hospital had its own physical healthcare team who saw patients on the wards. 1648 Ward, who rec 500a on a branch of Pagan Bay . Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. Patients were given leave to attend church for private prayers. There was no evidence that the provider undertook regular and effective audits of these issues. bayleyward We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare. Patients had good access to physical healthcare when needed. Conservative 12. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. There was a chaplaincy service and access to spiritual leaders for other faiths. 7: Sir William Wake 9th Bt 17681846 page . Staff planned and managed discharge well and liaised well with services that would provide aftercare. 93%OFF 10OFF BOV2203AP ZETT cannabistrax.com They actively involved patients and families and carers in care decisions. We had identified a similar issue in the June 2016 inspection. Safety was not a sufficient priority across the service. Patients had access to independent advocacy services. We found staff did not always safely manage medicines and act on audit results on three services we inspected. 16 September 2016. please let us know your views, opinions, thoughts or ideas to help us continuously improve. There were no formally reported cases of bullying or harassment when we visited the service. The provider had plans to support 20 staff a year in this scheme. bayley ward st andrews northampton 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.