We don't rate every type of service. The ward manager told us that they had block booked agency staff for the next six weeks, to improve consistency in care andthey werebooking more staff than required. Also, staff were not always able to take their breaks and support the activities provision. Supervisions occurred monthly by peers rather than line managers in some areas. Three patients told us that the ward had several bank staff. We are looking at different ways to indicate the outcomes of our monitoring in the future. Daily checks of the ligature cutters were not always completed. Senior staff monitored incidents and discussed outcomes and learning from them in team meetings. Staff did not learn from cleanliness audits. Staff cared for patients who presented with behaviour that challenged. 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. Staff had quick access to ligature cutters and pocket masks (for use in mouth to mouth resuscitation) in different areas of the wards. We told the provider that they must provide CQC with an update relating to these issues on a fortnightly basis. Managers did not provide a safe environment for 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. The PICU ward was affiliated to the National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU). Staff did not always feel respected, supported and valued on the long stay rehabilitation and learning disability and autism wards. Northampton, They understood and responded to their individual needs. Some documents were saved on a shared drive rather than in the electronic system. Staff did not always create care plans for physical healthcare conditions. Staff had completed physical health assessments for patients on admission accessed specialist healthcare providers when needed. If you have used our PICU services,please let us know your views, opinions, thoughts or ideas to help us continuously improve. Psychiatric intensive care service has remained the same as requires improvement. 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. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. 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. One patient was not involved in their care plan. . Safety was not a sufficient priority across the service. Staff did not always follow the Mental Health Act code of practice in relation to seclusion, long term segregation, blanket restrictions and section 17 leave on the long stay rehabilitation and learning disability and autism wards. However, monitors were visible to staff from the office and to patients on entering or leaving the adjacent low stimulus room. Bayley ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning+ disabilities / autistic spectrum disorder. We found that the risk based safety system is being used to manage non risk behaviours such as non-engagement. They were also not offered a dental appointment. Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. The BDMs are the first point of contact for all research proposals to external funding bodies in the UK, EU and Overseas and for research projects with industry. 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. Six out of nine patients said they had been involved in their care planning. Harper specialist ward for male and female patients with Huntingdons disease. Staff communicated with people in ways that met their needs. 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. We believe there's nowhere better to start your career than St Andrew's Healthcare. NN1 5DG. The providers governance processes had not addressed staff failures to follow the providers procedures. 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. Peoples care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. 2. We reviewed 26 incidents that occurred between 1 November 2019 and 3 February 2020. Patients held their own mobile phones wherever possible and had private access to a landline telephone that had direct lines to advocacy and other services. 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. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. Staff did not always treat patients with kindness, dignity and respect. Wards had seclusion rooms, low stimulus rooms and extra care suites for patient use. The provider did not have an effective management supervision structure. As a result of the ratings, this location remains in special measures. 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. Staff had not ensured the physical security of Willow ward. 13: . Wards had family friendly visiting rooms along with policies and procedures for children visiting. Feedback from focus groups and information received through CQC also reported a bullying culture in some parts of the organisation. BayleyWard holds the following certifications: ISO 9001:2015 / ISO 45001:2018 / ISO 14001:2015. . Fenwick ward is a low secure inpatient ward that can accommodate up to 10 children and adolescents females with neuro-disability / autistic spectrum disorder. Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. 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. Staff did not manage patient risks effectively. Staff restricted access to patients wishing to use their bedrooms, and this was not individually risk assessed. 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 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. The service does not have a registered manager in post but does have a nominated individual as required, and a controlled drugs accountable officer. In addition, at this inspection, we identified breaches in regulation 10, 12, 15, 17 and 18 but are related to different issues from the last inspection in 2021. St Andrews Healthcare Womens location is registered to provide the following regulated activities: This location has been inspected ten times. BayleyWard NSW Unit 10 Level 3 24 Hickson Rd Millers Point NSW 2000. There were appropriate systems for managing and recording complaints. 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. However, staff told us that they would hear of incidents on other wards by word of mouth rather than through any formal means. Staff did not always complete observations in line with patient care plans and the providers policy and procedures. The remaining staff (2%) were out of date with training. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. Medical staff raised an issue about completing medical reviews for seclusion at night with only one doctor on duty for the site, and a second doctor available until midnight. . Staff stated that that the training offered by St Andrews was excellent. Bayley Ward (VIC) Pty Ltd. BayleyWard VIC (Head Office) 21-23 Chessell St Southbank VIC 3006. We're a specialist charity that invests in innovative, patient-centric, holistic care. Staff documented patients did not have capacity but did not give a rationale as to why they had made this decision nor document any discussion. The ward was not resourced with equipment required to support patients with an eating disorder. The provider reported that 1,698 shifts out of 15,788 were unfilled for the period 1 February 2018 to 30 June 2018. Four people told us that they liked the food but that the options could be improved. Here are seven reasons why: 1. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. Patients were at risk of continuing harm. People received good quality care, support and treatment because staff were trained to support their needs. We observed staff searching patients in communal areas on two wards. 16 September 2016. However, Naseby in Northampton may be able to admit over the weekend, please contact the ward directly on the number below for an update. Fairbairn Ward management informed us the electronic system did not allow them to specify staff trained in British Sign Language. Staff recorded when ligature cutters were used but did not record when they were checked daily in line with their policy. Some senior staff gave examples of learning from incidents for their ward. Patients told us staff worked hard and were kind to them. The admissions cannot be carried over to following weeks should an admission not occur. Prone restraint was used only when the patient had requested it in their care planning (some patients prefer to the floor forward instead of backward), the patient had put themselves on in that position or if an injection was required. Conservative 12. Silverstone ward, a longer term high dependency rehabilitation unit for women over 18, with emotionally unstable personality disorder (EUPD) and disordered eating, 12 beds. 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. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. Find out more about our inspection reports. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. Staff did not always respect patients privacy and dignity on the forensic and long stay rehabilitation wards. Most wards were safe, visibly clean, homely and well furnished. 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. 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. Published Two patients told us that their escorted leave had been cancelled. We found culture had improved, and values of staff were better demonstrated between each other, their teams and caring for people. Please discuss this with the ward to arrange. There's no need for the service to take further action. Staff told us that the chief executive officer visited regularly. Irene was a home-maker. If you are facing any difficulties, reach out to Mr. Sonu at mgp.ta@flaviant.com with your Payment Receipt and Mobile Number. Tallis, Tavener, Althorp, Berkeley Close (1st floor) are male locked wards. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff. 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. Staff received annual appraisals and most staff received regular supervision. Fifty one percent of staff had received Management of Actual and Potential Aggression (MAPA) training and 47% of staff were trained in Prevention and Management of Aggression and Violence (PMAV). Staff arrived late to handovers. 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. They told us this affected the quality of the service they received and restricted their engagement in planned therapeutic activities. The majority of patients felt they were supported well by the staff team on the ward. Church ward is a low secure inpatient ward that can accommodate up to 10 children and adolescent males with neuro-disability / autistic spectrum disorder. Regulation 18 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Staffing. Neurobehavioural Rapid Response -We have one male bed available today. In some services staff did not assess patients capacity to consent to treatment appropriately. Leadership had been strengthened and new ways of working implemented to improve the patient experience. The provider managed quality and safety using a variety of tools. In the learning disability services there was not a clear and effective system for comprehensive handovers between nursing staff due to the set nursing shifts. Any other browser may experience partial or no support. Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition. Heygate ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning disabilities / autistic spectrum disorder. 24 September 2020. Governance processes did not always ensure that ward procedures ran smoothly. Staff in the forensic service did not always complete handovers in line with the providers policy and procedures. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. Browser Support People were in hospital to receive active, goal-oriented treatment. However people using the service and staff spoke of their frustrations when staff were taken off Spring Hill House to work on other wards within the Women's Service. A patient was in a distressed state for over an hour due to lack of specialist equipment. 7: Sir William Wake 9th Bt 17681846 page . 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 gotrax scooter not accelerating. This ensured learning not just from their own ward but from other services. Senior leaders were visible across the location and were approachable for patients and staff. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. People and those important to them, including advocates, were actively involved in planning their care. Staff told us morale was increasing following a period of change over the last two years and told us their managers were supportive. If patients did not understand their rights, staff did not always make further attempts. Boardman ward is a low secure inpatient ward that can accommodate up to 11 children and adolescent females with complex mental health needs. 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. As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. Staff did not always act to prevent or reduce risks to patients and staff. 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. Following our inspection, we issued a letter of intent informing the provider we were considering taking urgent action because of the immediate concerns we had about the safety of patients. The behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. 30 October 2018, Published Regulation 12 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safe care and treatment. Care plans were comprehensive and holistic, and contained a full range of patients needs. NN1 5DG. 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? Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing . This meant patients were not always able to communicate effectively with staff to make their needs known. Occupational health services and a trauma nurse supported staff physical and emotional health needs. 16 September 2016, Published The wards had enough nurses and doctors. However, this was not always the case with night staff on Church ward. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. In two services, care plans did not always reflect how to manage patients with physical health issues. We saw leadership at ward manager level. Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. One ward team did not have access to a specialist dietician, which was required to meet the needs of patients. 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. 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 protected and respected peoples privacy and dignity. We saw patients views were included in care plans and this included relatives where appropriate. We observed staff not wearing personal protective equipment (face masks) appropriately when on the ward. The charity that runs St Andrew's hospital in Northampton told the CQC it started looking into whether the deaths on its 20-bed Grafton ward were linked shortly after a third patient died in. Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. Staff took part in a range of clinical audits, benchmarking and quality improvement initiatives. 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. Managers ensured that these staff received training, supervision and appraisal. Medical staff told us clinical decisions were made at a senior level without any evidence based rationale or consultation at a clinical level. 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". Staff did not manage risks to patients and themselves well. Home; About Us. Managers had recently recruited a new senior nurse and staff were returning from long term sick leave. The shower areas upstairs did not provide comfort or promote dignity and privacy. Menu. We were told that ward community meetings took place and we saw records of the meetings were kept. People with physical health issues such as epilepsy, did not have appropriate care plans to manage bathing. the service is performing badly and we've taken enforcement action against the provider of the service.