For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. The complaints process was not always clearly displayed on the wards in formats people can understand. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. 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. 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 Healthcare Northampton Northamptonshire NN1 5DG Telephone: 0800 434 6690 Email: admissions@standrew.co.uk http://www.stah.org/services/brain-injury.asp. The providers governance processes had not addressed staff failures to follow the providers procedures. Staff kept some information in paper format. 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. Staff throughout the organisation were aware of how to report incidents and we saw good examples of staff learning from the investigation of adverse events. Staff discussed current concerns and risk issues for all patients and agreed on actions required. Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. Patients on the PICU did not have access to a lockable space in their bedrooms and they did not always have their room key. This meant there was no consistency and managers could not be sure that supervisors were addressing performance issues. at Northampton are the Adolescents services, men's services, women's services and acquired brain injury . Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. Staff had not always followed the providers policy on patient observations in two services. Leadership development opportunities were available. Company Information; FAQ; Stone Materials. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. St Andrews Healthcare Womens location is registered to provide the following regulated activities: This location has been inspected ten times. One carer told us at the moment its great, the social worker is fantastic, and that there were regular updates from staff. the service isn't performing as well as it should and we have told the service how it must improve. Not every ward had a dedicated sensory room, but access to one in the same building. People were in hospital to receive active, goal-oriented treatment. Staff told us morale was increasing following a period of change over the last two years and told us their managers were supportive. Nick Readett-Bayley, graduate of the Bartlett School of Architecture, established BayleyWard in early 2013 having arrived in Australia in 2010. Patients and staff told us that staff shortages often resulted in staff cancelling escorted leave, hospital appointments and activities across all cores services. Staff and patients reported a smell of sewerage in the ensuite bathrooms of some rooms. Let's make care better together. 10 February 2015. 10 June 2020. There was no recorded evidence of staff and patients having an immediate debrief following an incident. 3. Staff were caring and keen to do the best for the patients. due to sexual disinhibition or over-activity) in the context of a serious mental illness. any actions the Charity Commission has taken against the charity. cassandra jones artist; taiwanese urban legends. The provider had high vacancy rates in forensic, neuropsychiatry, older adults and rehabilitation services. Safety was not a sufficient priority across the service. We rated it as inadequate because: OConnell ward is a locked ward for male older adults. 16 September 2016. The provider told us they shared learning from incidents via alerts sent by email. Some staff in the learning disability services told us that there was little engagement with senior managers or the organisations values and they did not feel able to engage with the wider organisational systems. bayley ward st andrews northampton. We saw patients views were included in care plans and this included relatives where appropriate. People and those important to them, including advocates, were involved in planning their care. People received kind and compassionate care. ANMF; Mandalay; Martha Cove; Hobba; Flinders Landing; Apartments At both Thornton Ward and Spring Hill House the patients had expressed concerns about the heating not being suitable, for example bedrooms and communal rooms being either too hot or too cold. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. Staff knew and understood people well and were responsive. Two carers told us there were not enough staff on the ward and one carer raised concerns regarding the number of male agency staff on duty at night. Urgent enforcement action was taken following the previous inspection because of immediate concerns we had about the safety of patients on the forensic inpatient or secure wards, long stay or rehabilitation mental health wards for working age adults and wards for people with learning disabilities or autism. This meant staff may not be clear what behaviour was expected in certain situation. Consultants did not always accurately complete medication consent paperwork (T2 and T3 forms). Referrals accepted direct from Clinical Commissioning Groups and Foundation Trusts. Staff told us that they dreaded coming into work and felt professionally vulnerable. Patients told us that due to high levels of bank and agency staff who did not know them caused them to be cared for and treated differently. With the exception of rehabilitation, adolescent and forensic services, staff monitored the physical health of patients regularly and developed physical health goals and treatment for patients. Requires improvement 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. Staff ensured most patients needs were assessed and met within care plans. Staff told us that the chief executive officer visited regularly. We were not assured that leaders had taken sufficient action to address concerns raised during the focused inspection of the forensic service in January and February 2020 or addressed concerns of the same themes identified at other service inspections in St Andrews Healthcare. 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. All our PICU wards are members of NAPICU, and adhere to the NAPICU minimum standards and their admissions criteria. 7: Sir William Wake 9th Bt 17681846 page . 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. This meant that staff were not working to the most recent guidelines. People received good quality care, support and treatment because staff were trained to support their needs. 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". We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Staff took part in a range of clinical audits, benchmarking and quality improvement initiatives. The majority of patients felt they were supported well by the staff team on the ward. 5 October 2022. 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. Each patient will be individually assessed by our dedicated team. There were blanket restrictions on Sunley ward. bayley ward st andrews northampton. Staff supported people to play an active role in maintaining their own health and wellbeing. Peoples care, treatment and support plans, reflected their sensory, cognitive and functioning needs. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. Staff did not always treat patients with kindness, dignity and respect. 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 We found that routine restrictive practices were in place to manage risk, behaviours related to daily care and treatments were measured using generic levels. Levels of restraint significantly increased since the last comprehensive inspection across the forensic service. Staff planned and managed discharge well and liaised well with services that would provide aftercare. We reviewed seven incident reports. If patients did not understand their rights, staff did not always make further attempts. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. Three patients told us that their planned activities had been cancelled. There was a range of psychological interventions available for patients which patients were encouraged to attend. We rated St Andrews Healthcare Womens service as inadequate because: Published 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. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. Sycamore ward, a 4-bed medium secure enhanced support service for women with learning disabilities and/or autistic spectrum conditions. Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published 37 Berkeley Close, a community rehabilitation unit for women over 18, three beds. Overview Latest inspection summary 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. 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 service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced. 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. People had a choice about their living environment and were able to personalise their rooms. Some staff used the Mental Capacity Act to assess capacity for individual decisions. Regulation 13 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safeguarding service users from abuse and improper treatment. The service had appropriately skilled staff to keep them safe. The leadership, governance and culture did not always support the delivery of high quality, person centred-care. Four patients told us that there was a lack of health food options and that the quality of the food was variable. Chief Inspector of Hospitals. Provided and run by: St Andrew's Healthcare. However, we reviewed evidence that staff checked quality and temperature before serving food. 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. No rating/under appeal/rating suspended This meant senior staff could move staff to where need indicated it was higher on some wards. 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. 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. 5 October 2022. Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. Staff communicated with people in ways that met their needs. The provider had not fully responded to the needs of patients on the long stay rehabilitation and learning disability and autism wards. We found in the older adults services that care plans were detailed, personalised and accurate to the care we observed being provided. The electronic system was difficult to navigate to find key documents such as PBS reports and some plans. Peoples care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. Your information helps us decide when, where and what to inspect. 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. Published 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. Watkins House a longer term high dependency rehabilitation unit for women over 18, six beds. The last comprehensive inspection of this location was in July and August 2021. One third of the council was up for election and the Liberal Democrats stayed in overall control of the council. Staff promoted equality and diversity in their support for people. Heritage ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent females with complex mental health needs. there are some services which we cant rate, while some might be under appeal from the provider. Conservative 12. Action Plan 2011 for - PDF - (opens in new window), Annual Statement 2009 for - PDF - (opens in new window), Annual Statement 2010 for - PDF - (opens in new window), Regulatory Assessment Report 2009 for - PDF - (opens in new window), Regulatory Assessment Report 2010 for - PDF - (opens in new window), In People made choices and took part in activities which were part of their planned care and support. Although this was done to keep them and other people safe it meant that there were restrictions on what they were able to do and where they were able to go. We were told that there were issues around maintaining staff on Fairburn ward who were trained in British sign language (BSL). Staff were passionate about their job and knew patients well. However, this was not always the case with night staff on Church ward. Managers ensured that staff had received training in safeguarding and made appropriate referrals. Bayley Ward (VIC) Pty Ltd. BayleyWard VIC (Head Office) 21-23 Chessell St Southbank VIC 3006. Concerns identified at previous inspections had not always been addressed. Billing Road, Northampton, Northamptonshire, NN1 5DG fruit), that there was a lack of healthy food options on the menus. There was a dashboard for monitoring ward performance, quality and safety against agreed targets. the service is performing badly and we've taken enforcement action against the provider of the service. 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. We also found that risk assessments and Care plans around this restraint were not always in place. Staff provided a range of care and treatment interventions suitable for the patient group. A debrief is an opportunity for staff to reflect on the incident, review what action was taken, any immediate lessons learned and to offer support to patients and staff. Published People and those important to them, including advocates, were actively involved in planning their care. Two services did not make timely repairs to the environment when issues were raised. The provider reported that the frequency of incidents had reduced following our inspection visits. 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. There were regularly high numbers of bank and agency staff used across these wards. The emphasis is on short-term intensive treatment with regular reviews of progress. 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 seclusion room on Church ward did not have shower facilities. This meant patients were not always able to communicate effectively with staff to make their needs known. Learning disability patients told us that the restrictions around the risk safety system made them angry. They minimised the use of restrictive practices and followed good practice with respect to safeguarding. Multidisciplinary teams worked effectively across all wards. Staff completing extended periods of enhanced observations may be less likely to maintain the levels of concentration required to maintain patient safety. Not all ward areas at the long stay rehabilitation service and learning disability and autism service were safe, clean and well maintained. 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. the service is performing exceptionally well. Staff told us patients snack times on the ward were 11am and 4pm. Seven officers were called to deal with a disturbance at a Northampton hospital unit. Professor Edward Baker Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas. 220: . In response to a compliance action issued following our last inspection in November 2012, the provider demonstrated they were actively recruiting staff. Billing Road, Northampton, Northamptonshire, NN1 5DG. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas, although the provider reported these immediately. Staff in forensic services did not always document fully what patients had been offered or received. Arthur; Trick, Kerith Lloyd Kinsey (1989), St. Andrew's Hospital Northampton: the first 150 years, 1838-1988, . People had clear plans in place to support them to return home or move to a community setting. Staff did not manage patient risks effectively. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. The provider had strengthened the implementation of positive behaviour support planning since the last inspection in June 2016. 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. About Us. In rehabilitation, adolescent and forensic services, staff did not always complete physical healthcare monitoring following administration of rapid tranquilisation or commencement of seclusion. Mental capacity assessments were not decision specific. 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. It often occurred that staff were trained up to a level to work with patients, then moved to work on other wards. We received the requested assurance. Managers had recently recruited a new senior nurse and staff were returning from long term sick leave. Staff did not always ensure patients physical healthcare needs were met at the psychiatric intensive care, forensic and long stay rehabilitation wards. We know that being a relative, carer or friend of someone who has been admitted onto one of our crisis service wards can be worrying and stressful and our Carers team is hereto provide emotional support and help with issues such as health and money. They provided a range of treatments suitable to the needs of the patients cared for in a mental health rehabilitation ward and in line with national guidance about best practice. Staff did not always follow the providers policy and procedures on the use of enhanced support when observing patients assessed as being at higher risk harm to themselves or others at all core services. 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. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. nira rodeo standings 2021 10, Jun, 2022. country mart warsaw, mo weekly ad; Treatment of disease, disorder or injury. Patients that have received a positive result can end their isolation before the 10 days if they have. Our rating of this location improved. Berkeley Lodge, 37 and 38 Berkeley Close and 19 The Avenue are locked units. The provider reported that 1,698 shifts out of 15,788 were unfilled for the period 1 February 2018 to 30 June 2018. The providers governance processes had not addressed staff failures to follow the providers procedures on enhanced observations, handovers and safety checks. Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. Qualified Psychologist - Learning Disability & ASD The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. we have taken enforcement action. Contact Research Funding Support Walter Bower House Guardbridge St Andrews Fife KY16 0US Scotland, United Kingdom Tel: Contacting the team Documents RBDC Team Structure (PowerPoint, 45 KB) Heygate ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning disabilities / autistic spectrum disorder. One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. 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. the service is performing well and meeting our expectations. All other conditions outlined in the section 31 notice of decision from July 2021 remained applicable. Data provided showed a downward trajectory in the use of restraint and in the use of prone restraint. In two services, care plans did not always reflect how to manage patients with physical health issues. Find and compare services St Andrew's Healthcare St Andrew's Healthcare - Womens Service Independent mental health service St Andrew's Healthcare - Womens Service Overall: Requires improvement Billing Road, Northampton, Northamptonshire, NN1 5DG (01604) 616000 Provided and run by: St Andrew's Healthcare There did not appear to be an opportunity for patients to appeal against decisions made about their risk levels, or clear individual behaviour markers and goals for changes in levels. 10 November 2021. If you are facing any difficulties, reach out to Mr. Sonu at mgp.ta@flaviant.com with your Payment Receipt and Mobile Number. 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. If you have used our PICU services,please let us know your views, opinions, thoughts or ideas to help us continuously improve. One patient was not involved in their care plan. there are some services which we cant rate, while some might be under appeal from the provider. Senior leaders were visible across the location and were approachable for patients and staff. They understood peoples cultural needs and provided culturally appropriate care. Following our inspection, we served an urgent Notice of Decision because of the immediate concerns we had about the safety of patients. We're a specialist charity that invests in innovative, patient-centric, holistic care. St Andrew's Healthcare - Womens Service Quality Report Billing Road Northampton NN1 5DG Tel: 01604 616000 . We are looking at different ways to indicate the outcomes of our monitoring in the future. 13: . On Seacole ward, the furniture in the night lounge was torn and dirty. 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. Leaders had delivered a project to address poor culture found at the last inspection. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. This was concerning as staff told us they had been raising concerns since August 2019 and there was still a high occurrence of self harm incidents on our first day of inspection. 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. The service provided safe care. Managers and staff worked extra shifts to support the wards, which showed resilience and commitment toward delivering patient 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. Church ward is a low secure inpatient ward that can accommodate up to 10 children and adolescent males with neuro-disability / autistic spectrum disorder.
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