A mental health hospital in Northampton has been stopped from admitting new patients on some of its wards following a damning CQC report. People had clear plans in place to support them to return home or move to a community setting. St Andrew's Healthcare - Womens Service Quality Report Billing Road Northampton NN1 5DG Tel: 01604 616000 . Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. This meant people received compassionate and empowering care that was tailored to their needs. Agency and bank staff did not have adequate information about individual patient care and any safeguarding protection plans on the wards where they are working. People and those important to them, including advocates, were actively involved in planning their care. We rated it as requires improvement because: Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published NFHS is committed to protecting its members' privacy. There were meeting three times in a 24-hour period to review staffing across all wards. One patient felt the unit was the safest place ever, and staff were always available when needed but were always busy. This testing will be done from day 5. National Brain Injury Centre, St Andrew's Healthcare Staff used closed circuit television (CCTV) to monitor patients. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. There was a range of psychological interventions available for patients which patients were encouraged to attend. Compton Ward Northampton General Hospital, Cliftonville, Northampton, Northamptonshire, NN1 5BD 01604 634 700 Send email Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? 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). We spoke with staff and people using the service and the ward managers for the three wards visited. Managers agreed that at times it was difficult to ensure the safety of the ward, whilst meeting the needs of the patients. Not all staff had completed training in the Mental Health Act (MHA) or the Mental Capacity Act (MCA). We rated it as inadequate because: Following our inspection we took urgent action because of immediate concerns we had about the safety of patients on the forensic, long stay rehabilitation and learning disability and autism wards. Staff received mandatory and specialist training and most were up to date. The complaints process was not always clearly displayed on the wards in formats people can understand. The leadership, governance and culture did not always support the delivery of high quality, person centred-care. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. New admissions will need to isolate and complete a lateral flow test. Staff discussed current concerns and risk issues for all patients and agreed on actions required. One third of the council was up for election and the Liberal Democrats stayed in overall control of the council. Staff ensured most patients needs were assessed and met within care plans. We would like to show you a description here but the site won't allow us. Company Information; FAQ; Stone Materials. we have taken enforcement action. Foster is a locked ward for male older adults. St Andrew's Healthcare - Womens Service - CQC The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. You'll be coming to a world-class facility with its own teaching hospital and academic centre. The staffing on each of the wards did not meet the recommended establishment levels, this led to some peoples Section 17 leave being postponed or cancelled. Mental health therapy - Northampton St Andrew's Therapy Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. 2. On Seacole ward there were issues with controlling temperatures on the ward. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Physical healthcare services included dentistry and podiatry. Risk items were only removed if the patient had informed a staff member and were kept in locked lockers. Some staff used the Mental Capacity Act to assess capacity for individual decisions. There were recognised difficulties in the learning disability services in ensuring that the wards had the correct staff skill mix for the patients needs. Staff did not always demonstrate the values of the organisation when supporting patients. 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. 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. There were regularly high numbers of bank and agency staff used across these wards. Seclusion facilities were beingused for de-escalation and time out. Mental capacity assessments were not decision specific. They understood and responded to their individual needs. For family visiting our Northampton site, St Andrew's are able to offer accommodation locally to aid your support of a loved on in our crisis services. Billing Road, Northampton, Northamptonshire, NN1 5DG (01604) 616000 Provided and run by: St Andrew's Healthcare We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. They told us this affected the quality of the service they received and restricted their engagement in planned therapeutic activities. Staff had not completed full assessments for patients with a diagnosed eating disorder prior to admission. This meant that staff were not working to the most recent guidelines. This is not in line with the providers policy and does not adhere to guidelines by the National Institute for Health and Care Excellence (NG10). We're a specialist charity that invests in innovative, patient-centric, holistic care. 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. 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. Inadequate They were knowledgeable about the principles of PBS and were involved in observing behaviour and reporting to the multidisciplinary team to enable planning. Bayley Ward (VIC) Pty Ltd. BayleyWard VIC (Head Office) 21-23 Chessell St Southbank VIC 3006. Staff we spoke with knew where information was, however, information was not consistently in the same place for each record. Staff told us morale was increasing following a period of change over the last two years and told us their managers were supportive. 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. The multi-disciplinary team had not conducted reviews as required. Staff did not always respect patients privacy and dignity on the forensic and long stay rehabilitation wards. Staff managed known risks with nursing observations and individual risk assessments. We found on Tavener ward that informal patients were asked to sign a contract for granted leave, which does not reflect the Mental Health Act. One patient told us that the regular bank staff were caring and understood their needs, but two patients told us that bank staff were not responsive to their needs. The provider had plans to support 20 staff a year in this scheme. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. Staff provided a range of care and treatment interventions suitable for the patient group. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. 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. 1769, January 9 - married Catherine Charlton (Sister of Dr. John Charlton) in St . Staff and patients spoke highly of the new manager and we observed that positive changes had been made on our second visit. A female ward c 1920 . Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. Requires improvement Therefore, we are taking action in linewith our enforcement procedures to begin the process of preventing the provider from operating the service. Harper specialist ward for male and female patients with Huntingdons disease. Staff did not always complete physical healthcare monitoring for patients prescribed specific medications and staff did not complete the relevant chart regularly or appropriately. This service was placed in special measures on 10 June 2020. the service isn't performing as well as it should and we have told the service how it must improve. Suspended ratings are being reviewed by us and will be published soon. Staff did not always feel respected, supported and valued on the long stay rehabilitation and learning disability and autism wards. Blanket restrictions continued to be in place on most wards. The provider told us they were going to fit a safe diffuser over all of the ducts to try to diffuse the cool air over a larger area. There were weekly bed management meetings to review bed numbers. We reviewed 26 incidents that occurred between 1 November 2019 and 3 February 2020. an inspection looking at part of the service. Heritage ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent females with complex mental health needs. Managers had not notified CQC about seven out of eight safeguarding incidents and had not referred one to the local authority safeguarding team. 10Off Bov2203ap Zett This equated to a fill rate of 89% against the provider target of 90%. The provider had recently changed the local leadership of the ward. Staff told us that they dreaded coming into work and felt professionally vulnerable. Goals for recovery, including an estimated date of discharge from the PICU, will be set as part of the admission process. Occupational health services and a trauma nurse supported staff physical and emotional health 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. Some staff did not demonstrate understanding about appropriate use of seclusion facilities in the learning disability services. Telephone: 01604 614584 Fax: 01604 614578 Family and friends telephone line: 01604 614570 The provider reported that 1,698 shifts out of 15,788 were unfilled for the period 1 February 2018 to 30 June 2018. Since 1 February 2019, the Bayley PICU have been trialling body ward cameras on nurses. gotrax scooter not accelerating. One ward team did not have access to a specialist dietician, which was required to meet the needs of patients. bayley ward st andrews northampton People received kind and compassionate care. Staff did not always record details of restraint techniques used. Following our inspection, we served an urgent Notice of Decision because of the immediate concerns we had about the safety of patients. The ward environments were safe and clean. However, a significant number of shifts remained unfilled. A patient was in a distressed state for over an hour due to lack of specialist equipment. Wards had seclusion rooms, low stimulus rooms and extra care suites for patient use. John Reader 09 Jan 1822 Terrington St Clement, Norfolk, England - 08 Feb 1899 managed by James LaLone . nira rodeo standings 2021 10, Jun, 2022. country mart warsaw, mo weekly ad; All staff we spoke with in learning disabilities services followed positive behaviour planning (PBS) and least restrictive practices. Staff on the forensic wards did not always follow infection control procedures. Appraisal of performance was undertaken annually. We found that in the CAMHS service prone restraint was still being used when retraining young people. 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. Patients and staff told us that staff shortages often resulted in staff cancelling escorted leave, hospital appointments and activities across all cores services. A physical healthcare team, based on site, were available during the week to offer support with patients physical healthcare needs. The provider did not have an effective management supervision structure. Any other browser may experience partial or no support. Staff protected and respected peoples privacy and dignity. We rated it as requires improvement because: In Our rating of this location improved. 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. Patients and carers reported that managers were dismissive of concerns raised. Updated 1st Jul 2021, 10:14am A former St Andrew's Healthcare carer who kissed a 'vulnerable' mental health patient five times was spared jail at Northampton Crown Court yesterday (Wednesday,. We saw action plans arising from complaints and the resultant changes on the wards. the service isn't performing as well as it should and we have told the service how it must improve. bayley ward st andrews northampton - controlsafety.com.br We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. 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. St. Andrew's Hospital, Northampton: The First 150 Years (1838-1988) the service is performing exceptionally well. 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. Inspectors slammed St Andrew's Healthcare in Northampton following a recent inspection which found the safety, care and leadership at the provider's women services were "inadequate". Not every ward had a dedicated sensory room, but access to one in the same building. Some people were not happy about being on the ward because they were detained their under the Mental Health Act 1983. The success gave Northampton an excuse to build a larger stadium, as interest was high in the densely-populated city and the money was coming in. Nurse managers reported they received prompts from the providers training department when staffs mandatory training or refreshers were due. This was because of the air exchange system sending columns of cold air directly downwards when the ward gets above 28 degrees. The provider was required to provide CQC with an update relating to these conditions on a fortnightly basis. Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. They actively involved patients and families and carers in care decisions. Some senior staff gave examples of learning from incidents for their ward. In total we spoke with ten patients. Walton is for male patients with Huntingdons disease. 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. The provider managed quality and safety using a variety of tools. Severely autistic girl locked in 12ft hospital 'cell' for 21 months and For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. Staff did not learn from cleanliness audits. Patients that have received a positive result can end their isolation before the 10 days if they have. Staff on the forensic, long stay rehabilitation and learning disability and autism wards did not always treat patients with compassion and kindness. St Andrew's Hospital - Wikipedia Blanket restrictions continued to be in place on most wards. Our rating of this service improved. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. Staff were caring and keen to do the best for the patients. Some staff did not know how to access peoples care records on the electronic records system. Staff did not allow patients to have snacks outside these times. 24/7 admissions service with decision within an hour of a referral. The wards did not have adequate psychology and occupational therapy provision for people on the wards. The provider told us they shared learning from incidents via alerts sent by email. The neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. NN1 5DG. There were not always enough staff to safely carry out physical interventions and provide the required level of patient observations on Sunley ward. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. Managers did not provide a safe environment for patients. 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. Managers had not followed recommendations from an internal investigation into concerns raised. ForumIAS Mains Open Simulator X This was raised on numerous occasions in community meetings with no evidence of any action taken. bayley ward st andrews northampton 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. Staff communicated with people in ways that met their needs. Staff had not completed the Elgar ward ligature risk assessment. Staff did not always create care plans for physical healthcare conditions. 258. Managers and staff worked extra shifts to support the wards, which showed resilience and commitment toward delivering patient care. Patients regularly had their escorted leave, therapies or activities cancelled because of staff shortages. Browser Support However, we reviewed evidence that staff checked quality and temperature before serving food. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs. 3. Staff did not always follow the providers policy and procedures on the use of enhanced observations when supporting patients assessed as being at higher risk of harm to themselves or others. Levels of restraint significantly increased since the last comprehensive inspection across the forensic service. However, one patient told us that staff did not always consider the impact on patients who witnessed the use of restraint. People were supported by staff to pursue their interests. The provider used bureau (St Andrews bank staff) and agency staff to fill vacant shifts. However, we did find that improvements were needed to meet full compliance with the regulations in relation to the use of seclusion. There was a shower curtain on some, but not all showers. To make a PICU enquiry or discuss a referral please contact our wards directly 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. St Andrews Healthcare Womens location has been registered with the CQC since 11 April 2011. There's no need for the service to take further action. We received the requested assurance. In rehabilitation, adolescent and forensic services, staff did not always complete physical healthcare monitoring following administration of rapid tranquilisation or commencement of seclusion. Western Reserve News We reviewed 21 care and treatment records for patients. Seclusion rooms are available across our Neuro services where required. Staff cared for patients who presented with behaviour that challenged. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. 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. Armed police called to Northampton hospital children's ward after We found staff did not always safely manage medicines and act on audit results on three services we inspected. On Seacole ward, the furniture in the night lounge was torn and dirty. Assessment or medical treatment for persons detained under the Mental Health Act 1983. 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. The leadership and governance did not always support the delivery of high quality, person centred-care. Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. 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. Patients could personalise their bedrooms and had lockable spaces to secure possessions. St Andrew's Healthcare - Womens Service - Care Quality Commission - CQC We found culture had improved, and values of staff were better demonstrated between each other, their teams and caring for people. Facilities and premises used on Elgar and Spring Hill wards were not appropriate for the service being provided. In particular high numbers of registered agency nurses had been booked for night duty, many of whom were male, and not known to the female patients. All patient bedrooms had ensuite facilities. Any other browser may experience partial or no support. 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. We rated it as requires improvement because: Our rating of this service stayed the same. Patients had access to independent mental health advocacy. Irene was a home-maker. The policy around such practice was ambiguous and this was confirmed by the records we viewed. 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. Menu. 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. Staff did not always complete observations in line with patient care plans and the providers policy and procedures. Wards had adequate space for delivering care and treatment of patients, with appropriate seclusion rooms, low stimulus rooms, and extra care suites for patient use. Staff supported people to make decisions following best practice in decision-making. Staff did not read patients their rights under section 132 of the Mental Health Act in some wards. Multidisciplinary teams worked well together to provide the planned care. Patients could also use their own phones to check emails. 16 September 2016. Managers and medical staff told us that in recent months they had felt pressurised into accepting patients, who in their clinical opinion, were not suitable. No rating/under appeal/rating suspended Managers did not ensure all staff had the right skills, qualifications and experience to meet the needs of the patients in their care on the forensic wards and learning disability and autism wards.