Staff did not allow patients to have snacks outside these times. The provider reported 13 forensic service failure incidents due to staff shortages between 01 September 2019 and 29 February 2020. Not all staff had completed training in the Mental Health Act (MHA) or the Mental Capacity Act (MCA). 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. Company Information; FAQ; Stone Materials. As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. How many of them have died in St Andrews? There had been an increase in the group of patients with Huntingdons disease on Tallis ward which affected the clinical risks on the ward and this was raised as a concern, this was being addressed by staff receiving extra training in this area. 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 behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. Staff told us that rapid tranquillisation medication was administered most days. Our rating of this location stayed the same. They were also not offered a dental appointment. Staff told us that they dreaded coming into work and felt professionally vulnerable. St Andrews Healthcare Womens location is registered to provide the following regulated activities: This location has been inspected ten times. There was insufficient medical cover for overnight on call and emergencies. One patient said,' 'yes the staff are good here they are always ready to have a chat with you'. Two services did not make timely repairs to the environment when issues were raised. Managers did not provide a safe environment for patients. Following our inspection, we served an urgent Notice of Decision because of the immediate concerns we had about the safety of patients. 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. One carer told us at the moment its great, the social worker is fantastic, and that there were regular updates from staff. The average price for a property in St Andrew's Road, Northampton, Northamptonshire, NN2 is 155,000 over the last year. Regulation 18 CQC (Registration) Regulations 2009 Notification of other incidents. There was little evidence that patients or their carers were actively involved in writing or reviewing their care plans on the learning disability wards. We found that staff were not aware of learning from complaints, incidents and internal and external investigations. The overall rating for this service has improved to requires improvement. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas. The 1999 Winchester City Council election took place on 6 May 1999 to elect members of Winchester District Council in Hampshire, England. Staff recorded when ligature cutters were used but did not record when they were checked daily in line with their policy. 25 February 2014. 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. This meant patients were not always able to communicate effectively with staff to make their needs known. . Staff had not completed seclusion and long-term segregation care plans for all patients. Staff were trained in the Mental Capacity Act and the Deprivation of Liberties Safeguards (DoLS). The provider reported that the frequency of incidents had reduced following our inspection visits. 113, St Andrews . These groups are facilitated by Occupational Therapists, Psychology, Nursing, with sessions also by the Physical Health Nurse, Art Therapist and Advocacy. Andrew ARROWSWORD - 40 - ST Ben LORENNION - 28 - ST Iain CYN . Staff did not learn from cleanliness audits. Two patients told us that they felt the service had aided their recovery more than any other and that staff that staff were generally kind, caring and took the least restrictive approach. Staff completed annual physical health assessments for all patients and completed standard physical health checks. Staff used clinical and quality audits to evaluate the quality of care. St Andrew's Healthcare Adolescent Services Northampton the service is performing exceptionally well. bayley ward st andrews northampton - drsujayabanerjee.com This meant that staff did not always evaluate the quality of support provided to people and embed learning into practice. Staff did not record or review seclusions appropriately when a person was secluded outside of the seclusion room, for example in their bedroom. This service was placed in special measures on 10 June 2020. Staff developed a comprehensive care and personal behavioural plan for each patient that met their mental and physical health needs. Some documents were saved on a shared drive rather than in the electronic system. How many deaths in St Andrews, Northampton? Who is accountable? We believe there's nowhere better to start your career than St Andrew's Healthcare. Severely autistic girl locked in 12ft hospital 'cell' for 21 months and 20 September 2013. bayley ward st andrews northampton. Psychiatric intensive care service has remained the same as requires improvement. 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. 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. There was a high use of regular bank staff and agency staff. Back in January 2019 it placed St Andrew's Healthcare's Fitzroy House in Northampton - a hospital for adolescents with mental health problems - in special measures. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 7 August 2017, Published 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). The provider was in the process of obtaining funding for renovating the seclusion room. 220: . Our four male and female PICU wards are based centrally across Northampton and Essex offering 24/7 rapid assessment, intensive treatment and stabilisation for people with acute phases of mental illness, we aim to give you a decision on your referral within the hour. the service is performing badly and we've taken enforcement action against the provider of the service. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. About Us. Staff had completed physical health assessments for patients on admission accessed specialist healthcare providers when needed. Staff assessed and managed risk well. Patients told us staff worked hard and were kind to them. Managers continued with the planned change despite training not being available, due to coronavirus restrictions, and the ward not being sufficiently resourced. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Patients and carers reported that managers were dismissive of concerns raised. People received good quality care, support and treatment because staff were trained to support their needs. Staff did not always respect patients privacy and dignity on the forensic and long stay rehabilitation wards. Each ward had a book dedicated to learning from incidents and complaints generated across the hospital site. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. the service is performing exceptionally well. They actively involved patients and families and carers in care decisions. St Andrews Hospital is a mental health facility in Northampton, . Some staff did not demonstrate understanding about appropriate use of seclusion facilities in the learning disability services. 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. National Brain Injury Centre, St Andrew's Healthcare This meant people received compassionate and empowering care that was tailored to their needs. 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. Staff did not always follow National Institute for Health and Care Excellence guidance for the use of rapid tranquillisation on Sunley ward. Patients were at risk of not receiving effective care and treatment. bayley ward st andrews northampton Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. Foster is a locked ward for male older adults. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. 16 September 2016, Published However, the provider does have various avenues through which staff can raise grievances and concerns. Staff supported them to achieve their goals. Staff we spoke with knew where information was, however, information was not consistently in the same place for each record. It has defined its key patient outcomes to be rapid stabilisation, crisis resolution, risk-reduction, prevention of relapse and promotion of recovery. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. A female ward c 1920 . If patients did not understand their rights, staff did not always make further attempts. Wards had a range of rooms for care and treatment and rooms for patients to meet visitors in private. Patients that have received a positive result can end their isolation before the 10 days if they have 2 consecutive negative LFT results 24 hours apart. In 1988 Frith won the Sports Council's British Sports Journalism award as Magazine Sports Writer of the Year. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. 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. 2022 fastest 4000w Folding Electric Kick Scooter in Afghanistan Staff did not always keep patients safe from harm whilst on enhanced observations. Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. Managers and staff worked extra shifts to support the wards, which showed resilience and commitment toward delivering patient care. The provider used bureau (St Andrews bank staff) and agency staff to fill vacant shifts. Managers ensured that these staff received training, supervision and appraisal. Staff used positive behavioural support plans with patients effectively. 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 at the forensic service used derogatory and inappropriate language to describe patients. The service provided care, support and treatment from trained staff and specialists able to meet peoples needs. 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. 7: Sir William Wake 9th Bt 17681846 page . Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. 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. Insufficient improvements have been made such that there remains a rating of inadequate for any core service, key question or overall. Medical staff told us clinical decisions were made at a senior level without any evidence based rationale or consultation at a clinical level. Care records confirmed that the room was used regularly and recently. The provider had ongoing recruitment and retention programmes to attract new staff. the service isn't performing as well as it should and we have told the service how it must improve. 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. All our PICU wards are members of NAPICU, and adhere to the NAPICU minimum standards and their admissions criteria. 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. 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. We told the provider that they must provide CQC with an update relating to these issues on a fortnightly basis. However, we found the following areas of good practice: Published As a result, discharge was rarely delayed for other than a clinical reason. 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. 3. 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. 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. bayley ward st andrews northampton - meritageclaremont.com Peoples risks were assessed regularly and managed safely. Staff on Spencer North did not know where to find the ligature audit. Daily checks of the ligature cutters were not always completed. Watkins House a longer term high dependency rehabilitation unit for women over 18, six beds. an inspection looking at part of the service. We found gaps in hourly observation records on 193 out of a possible 1,008 occasions. Willow ward, a 10-bed medium blended secure service for women. Richmond Watson ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent males with complex mental health needs. 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. The policy around such practice was ambiguous and this was confirmed by the records we viewed. Staff received training in safeguarding and made appropriate referrals. Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. Staff had not met all patients physical health needs. 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. Emma Bayley Mary Ann Baylis 1852 Redditch, Worcestershire, England George Bayliss 1863 Sheffield, Yorkshire, England . Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. Acorn ward (formerly Bayley) is a ten bed medium secure forensic service for boys with autistic spectrum conditions and / or learning disabilities. Managers had not ensured a safe environment at the learning disabilities service. The provider had improved governance systems and carried out recruitment drives to attract staff. Managers were visible on the wards and staff felt supported by operational managers and clinical nurse leads. Not all wards had a seclusion facility available for use. Good Some records had part of the paperwork uploaded. 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. Two services did not make timely repairs to the environment when issues were raised. Staffing levels at the time of the incidents were recorded in each report. 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. Where necessary, another inspection will be conducted within six months, and if there is not enough improvement we will move to closethe service by adopting our proposal to vary the providers registration to remove this location or cancel the providers registration. People made choices and took part in activities which were part of their planned care and support. This meant staff may not be clear what behaviour was expected in certain situation. Staff provided a range of activities for patients and activities were available seven days a week. bayley ward st andrews northampton; list all ssis packages in ssisdb catalog bayley ward st andrews northampton. Independent advocacy services were available to all patients. In older adults services the provider did not always reduce the risk from blind spots. bayley ward st andrews northampton - domenicoludovico.com We saw patients views were included in care plans and this included relatives where appropriate. ANMF; Mandalay; Martha Cove; Hobba; Flinders Landing; Apartments Heritage ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent females with complex mental health needs. The provider had not ensured that ward areas were always well maintained. We rated St Andrews Healthcare Womens service as inadequate because: Published On Althorp ward sweets were not allowed and the times for hot drinks were restricted. Staff had reported a high number of drug errors in Willow ward. This included reviewing blanket restrictions, revising professional boundaries, introducing new meeting structures and ward rules. 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. 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. Our rating of this location improved. You can also Whatsapp /Call him at 9311740424 Managers had not ensured established optimum staffing levels on all shifts. St. James End, Northampton - St. James End, Northampton bayley ward st andrews northampton Contact bayleyward We observed staff not wearing personal protective equipment (face masks) appropriately when on the ward. Psychiatric Intensive Care Unit (PICU) for male and females St Andrew One patient felt the unit was the safest place ever, and staff were always available when needed but were always busy. This equated to a fill rate of 89% against the provider target of 90%. Telephone: 01604 614584 Fax: 01604 614578 Family and friends telephone line: 01604 614570 Welcome to St Andrew's Therapy Northampton Our therapy clinic in Northampton offers specialist mental health assessments, diagnosis, counselling and talking therapy services. Occupational health services and a trauma nurse supported staff physical and emotional health needs. People were involved in managing their own risks whenever possible. 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. Staff engaged in clinical audit to evaluate the quality of care they provided. Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. Cranford is a medium secure ward for male older adult patients. the service isn't performing as well as it should and we have told the service how it must improve. Wards had seclusion rooms, low stimulus rooms and extra care suites for patient use. In rehabilitation services, staff did not always respond appropriately to a decline in a patients physical health and did not use observation tools to review and assess the response needed. Police were called to St Andrew's Hospital's Marsh ward at just before 6pm . The service provided safe care. 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. Staff provided a range of care and treatment in line with best practice and national guidance (from relevant bodies e.g. 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. The neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. 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. 2. Our rating of this service stayed the same. The unit had a shared electronic device which patients could use to make video calls and a shared phone. We found issues with inappropriate storage of medicines, staff not labelling opened medications, patient allergy information and a significant medication error. 16 September 2016. 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.
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