The ward environments were safe and clean. Nine out of fourteen self harm incidents reviewed occurred due to staff not completing enhanced observations as prescribed. 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? 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. Any other browser may experience partial or no support. Telephone: 01604 614584. How many of them have died in St Andrews? The wards did not always have enough nurses. Staff supported patients to engage with the wider community. However, one patient told us that staff did not always consider the impact on patients who witnessed the use of restraint. Irene was also a member of the Sweetbriar Garden Club and British Wife's. Staff assessed and managed risk well and followed good practice with respect to safeguarding. 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 is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. 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. Browser Support The ward environments were clean. 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. The service had appropriately skilled staff to keep them safe. Bayley Ward, St Andrews Hospital, Northampton, NN51 5DG NHS Gloucestershire CCG 1 Brunel Ward, Priory Hospital, Heath House Lane, Bristol, BS16 1 EQ NHS Herefordshire CCG 1 Cygnet Coventry CV2 4FN NHS Gloucestershire CCG 1 ELGAR UNIT, HOLT WARD, NEWTOWN HOSPITAL WR5 1JG NHS Gloucestershire CCG 1 Frinton Ward, St Andrews Hospital, Essex SS12 9JP . Staff had not met all patients physical health needs. Patients could also use their own phones to check emails. One third of the council was up for election and the Liberal Democrats stayed in overall control of the council. 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. These groups are facilitated by Occupational Therapists, Psychology, Nursing, with sessions also by the Physical Health Nurse, Art Therapist and Advocacy. Richmond Watson ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent males with complex mental health needs. Senior staff monitored incidents and discussed outcomes and learning from them in team meetings. Company Information; FAQ; Stone Materials. Two services did not make timely repairs to the environment when issues were raised. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. due to sexual disinhibition or over-activity) in the context of a serious mental illness. Following our inspection, we served an urgent Notice of Decision because of the immediate concerns we had about the safety of patients. Sunley ward was not clean, bed linen was stained and smelly, and dirty linen was stored with clean linen. Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. Staff had not maintained patients dignity. Staff told us patients snack times on the ward were 11am and 4pm. Foster is a locked ward for male older adults. We saw rotas which showed the wards were regularly using bank or agency staff, Mackaness had three members or regular staff on duty and six agency staff on the day of our visit. We found that the CAMHS service had a number of extra care beds, these were generally patients segregated from the main ward area and cared for in isolation. Staff were trained in the Mental Capacity Act and the Deprivation of Liberties Safeguards (DoLS). It has defined its key patient outcomes to be rapid stabilisation, crisis resolution, risk-reduction, prevention of relapse and promotion of recovery. Staff received annual appraisals and most staff received regular supervision. 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. 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. Senior managers of the hospital and senior ward-based staff had taken steps to address a closed culture that was identified at our last inspection. Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. Senior leaders demonstrated learning by acknowledging that a lesson learnt was to ensure new services have the correct capabilities in place prior to opening and reported that they were making changes following concerns being raised. 10 February 2015. However, Naseby in Northampton may be able to admit over the weekend, please contact the ward directly on the number below for an update. Sitwell ward was not following St Andrews Seclusion policy with regard seclusion reviews with patients. 29 December 2012. The admissions cannot be carried over to following weeks should an admission not occur. Staff provided a range of care and treatment interventions suitable for the patient group. bayley ward st andrews northamptonlaconia daily sun obituaries. Staff told us when shifts were not filled, staff moved between wards to meet patient need or wards worked short of staff. Data provided showed a downward trajectory in the use of restraint and in the use of prone restraint. Managers had not notified CQC about seven out of eight safeguarding incidents and had not referred one to the local authority safeguarding team. We found that routine restrictive practices were in place to manage risk, behaviours related to daily care and treatments were measured using generic levels. They understood and responded to their individual needs. The neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. 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. However, the provider does have various avenues through which staff can raise grievances and concerns. The provider had an induction programme for new staff and was supportive of further learning opportunities for all permanent staff. The behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. Patients described occasions when they were distressed and staff ignored them. the service is performing badly and we've taken enforcement action against the provider of the service. by | Jun 10, 2022 | how to charge a kangvape without a charger | when do live oaks drop their leaves in florida | Jun 10, 2022 | how to charge a kangvape without a charger | when do live oaks drop their leaves in florida Here are seven reasons why: 1. Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. 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. 24/7 admissions service with decision within an hour of a referral. Staff assessed and managed risk well. Leadership development opportunities were available. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing . Managers did not share learning from incidents with their teams in the forensic and learning disabilities services. We rated it as requires improvement because: Our rating of this service stayed the same. Concerns identified at previous inspections had not always been addressed. Wards had seclusion rooms, low stimulus rooms and extra care suites for patient use. People were in hospital to receive active, goal-oriented treatment. 1998-2011 Richard Tanner (from All Saints' Church, Northampton) 2011-2019 Samuel Hudson; 2019- John Robinson; Organist in . The provider used bureau (St Andrews bank staff) and agency staff to fill vacant shifts. Inspection Report published 25 February 2014 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Nurse managers reported they received prompts from the providers training department when staffs mandatory training or refreshers were due. We reviewed minutes from a de brief session, which confirmed this. Staff protected and respected peoples privacy and dignity. Forensic inpatient or secure wards have remained as an overall rating of inadequate. The shower areas upstairs did not provide comfort or promote dignity and privacy. The clinic rooms were fully equipped and resuscitation equipment was checked regularly and recorded however not all wards had equipment. Treatment of disease, disorder or injury. Patients told us there were limited food options, especially if vegetarian. Patients and staff told us that staff shortages often resulted in staff cancelling escorted leave, hospital appointments and activities across all cores services. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. that the provider must not admit any new patients without permission from the CQC; that wards must be staffed with the required numbers of suitably skilled staff to meet patients needs; that staff undertaking patient observations must do so in line with the providers policy; that staff must receive required training for their role and that audits of incident reporting are completed. We received the requested assurance. bayley ward st andrews northampton. (later Organist at the University of St Andrews, Scotland) 2009 Oliver Waterer (later Organist at St. David's . The PICU hospital director offered regular open clinical between 7pm and 9pm which were open for staff to attend. 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. St. Andrews Hospital had its own physical healthcare team who saw patients on the wards. St Andrew's Healthcare - Womens Service in Northampton is a Hospitals - Mental health/capacity specialising in the provision of services relating to assessment or medical treatment for persons detained under the 1983 act, caring for people whose rights are restricted under the mental health act, learning disabilities, mental health conditions and We saw leadership at ward manager level. Overview Latest inspection summary Suspended ratings are being reviewed by us and will be published soon. Our rating of this location improved. Managers on the learning disability wards and forensic wards did not make sure staff received specialist training for their role. Home; About Us. The provider recently introduced daily safety huddles involving the whole staff team. St Andrews Hospital is a mental health facility in Northampton, . There were ligature points in the psychiatric intensive care unit and the provider did not ensure all patients risk assessments and care plans included the management of specific environmental ligature risks. Staff had not always followed the providers policy on patient observations in two services. Each patient will be individually assessed by our dedicated team. Some staff and patients told us that they did not feel safe on the learning disability wards. 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. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. Bayley Ward (VIC) Pty Ltd. BayleyWard VIC (Head Office) 21-23 Chessell St Southbank VIC 3006. Staff used closed circuit television (CCTV) to monitor patients. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. 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. we have taken enforcement action. Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. Staff had not followed the dysphagia care plan for one patient on Sitwell ward, which had resulted in a choking incident. Bracken ward, a 10-bed medium blended secure service for women. Last year it said improvements . Staff managed known risks with nursing observations and individual risk assessments. Seacole ward had outstanding maintenance issues. Some staff did not demonstrate understanding about appropriate use of seclusion facilities in the learning disability services. Staff did not allow patients to have snacks outside these times. There remain issues around mixed gender accommodation on some older adults wards. Two patients told us that they felt the service could benefit from more staff as staff tend to focus more on the patients with the highest support needs. (01604) 616000, Provided and run by: Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. We spoke with a senior member of staff who described patients with an eating disorder as not a patient group who inspires excitement. Care records confirmed that the room was used regularly and recently. All other conditions outlined in the section 31 notice of decision from July 2021 remained applicable. Staff could access emergency physical health care from the providers emergency response teams and the local general hospital to cover out of hours emergencies. A patient was in a distressed state for over an hour due to lack of specialist equipment. In response to a compliance action issued following our last inspection in November 2012 the provider was able to demonstrate that necessary maintenance works had taken place to the wards heating and cooling systems to ensure they were in working order. The provider managed quality and safety using a variety of tools. We are looking at different ways to indicate the outcomes of our monitoring in the future. There was a chaplaincy service and access to spiritual leaders for other faiths. Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. 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. the service isn't performing as well as it should and we have told the service how it must improve. ANMF; Mandalay; Martha Cove; Hobba; Flinders Landing; Apartments 37 Berkeley Close, a community rehabilitation unit for women over 18, three beds. Managers agreed that at times it was difficult to ensure the safety of the ward, whilst meeting the needs of the patients. Staff and patients spoke highly of the new manager and we observed that positive changes had been made on our second visit. Safety was not a sufficient priority across the service. We found in the learning disability service some care plans were generic and not person centred, in particular the risk safety system. The multi-disciplinary team had not conducted reviews as required. Staffing numbers did not meet establishment levels. On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. 25 February 2014. Staff had not escalated these issues to estates management, leading to an unpleasant environment for patients. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. Staff engaged in clinical audit to evaluate the quality of care they provided. 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. A mental health hospital in Northampton has been stopped from admitting new patients on some of its wards following a damning CQC report. Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. 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 Psychiatric intensive care unit, we spoke to four patients. Staff at these services were not reporting all incidents and not recording all incidents appropriately. Patients were given leave to attend church for private prayers. Male or Female Northampton (Out of office hours) -Please contact the relevant ward directly: There is now updated Covid-19 guidance for healthcare settings, which means there are some changes to the admissions and isolation processes affecting our patients: 1. These older reports are from our old approaches to inspection, including those from before CQC was created. We found gaps in observation records. Patients had good access to physical healthcare when needed. This meant patients were not always able to communicate effectively with staff to make their needs known. Published Two patients told us that their escorted leave had been cancelled. Who protects the vulnerable voiceless, like Bill, and Kristian, paying 6,000 (4,500 tax free) per week, for their enforced 'treatment'?. Staff made prompt referrals for any further specialist physical healthcare input. There was a need toassess and treat patients based on individual risk and identified needs, rather than placing emphasis on generic, restrictive risk management processes. Staff recorded when ligature cutters were used but did not record when they were checked daily in line with their policy. 258. We received mixed comments from the patients that we spoke with over our two day visit. 24 September 2020. However, some areas of the hospital, in particular the bathrooms and one seclusion room, required further work to meet these standards. 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. Peoples care and support was provided in an environment that was otherwise safe, clean, well equipped, well-furnished and well-maintained which met people's physical needs. Staff administered backslaps and dislodged the food. The door to the room did not lock and patients needing the toilet could enter. Staff knew and understood people well and were responsive. Staff did not record all the medicines they had disposed of. Staff did not provide a range of care and treatment options suitable for this patient group. 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) Staff told us that they received de briefs and support after serious incidents. Staff were not always updating patient risk assessments and care plans at the psychiatric intensive care and long stay rehabilitation wards. 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. Inadequate Berkeley Lodge, 37 and 38 Berkeley Close and 19 The Avenue are locked units. Some rooms had sensory equipment that was available for people to use. Staff developed a comprehensive care and personal behavioural plan for each patient that met their mental and physical health needs. In rehabilitation, adolescent and forensic services, staff did not always complete physical healthcare monitoring following administration of rapid tranquilisation or commencement of seclusion. Sycamore ward, a 4-bed medium secure enhanced support service for women with learning disabilities and/or autistic spectrum conditions. we have taken enforcement action. The provider had plans to improve this, but these had not yet commenced. 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 worked well with services that provided aftercare to ensure people received the right care and support when they went home. Teams held regular and effective multidisciplinary meetings. Compton is a locked ward for male and female older adult patients. There were regularly high numbers of bank and agency staff used across these wards. We found gaps in observation records. Patients had access to independent advocacy services. This equated to a fill rate of 89% against the provider target of 90%. Patients should be detained under the MHA 1983 (all section papers are checked before accepting admission) and patients are not admitted under section 136. More. 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. He founded Wisden Cricket Monthly and edited it from 1979 to 1996. They actively involved patients and families and carers in care decisions. Staffing was below the establishment number for five incidents reviewed. Assessment or medical treatment for persons detained under the Mental Health Act 1983. The provider had not ensured that ward areas were always well maintained. Males aged between 18 and 65 years old mental health issues that may include: These criteria are a guide for assessing suitability. The providers governance processes had not addressed staff failures to follow the providers procedures. Blanket restrictions continued to be in place on most wards. This meant senior staff could move staff to where need indicated it was higher on some wards. One patient said,' 'yes the staff are good here they are always ready to have a chat with you'. As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. Conservative 12. We reviewed incidents where staff had not provided physical health interventions as required and staff did not always record patients physical health or nutritional needs. They were knowledgeable about the principles of PBS and were involved in observing behaviour and reporting to the multidisciplinary team to enable planning. We don't rate every type of service. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. People were protected from abuse and poor care. Staff did not record or review seclusions appropriately when a person was secluded outside of the seclusion room, for example in their bedroom. The seclusion room on Church ward did not have shower facilities. Psychiatric intensive care service has remained the same as requires improvement. an inspection looking at part of the service. Heygate ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning disabilities / autistic spectrum disorder. Bayley, a psychiatric intensive care unit with 10 beds for women. Telephone: 01604 614584 Fax: 01604 614578 Family and friends telephone line: 01604 614570 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. Getting To The Hospital Collapse all By Road View By Bus View By Train View Senior leaders were visible across the location and were approachable for patients and staff. Heygate ward Male PICU N'ton Tel: 01604 616 111 Email: [email protected], Bayley ward Male PICU N'ton Tel: 01604 614 584 Email: [email protected], Audley ward Male PICU Essex Tel: 01268 723 930 Email: [email protected], Frinton ward Female PICU Essex Tel: 01268 723 860 Email: [email protected], Benfleet ward - Male ACUTE Essex Tel: 01268 723 934 Email: [email protected], Naseby ward - Male ACUTE Northampton Tel: 01604 616 179. We looked at the Mental Health Act paperwork for patients and found it to be accurate and complete in all sections. Peoples risks were assessed regularly and managed safely. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Staff supported one patient sensitively on the anniversary of a traumatic life event. Staff did not always share clear information about patients and any changes in their care. We rated it as requires improvement because: In . ACUTE-There are currently no Acute Male beds available. Managers had not effectively managed the change to the ward profile. Referrals accepted direct from Clinical Commissioning Groups and Foundation Trusts. Staff Nurse- Deaf ServiceLocation: NorthamptonFull time - 37.5 hoursSalary: 29,062-29,884 depending on experience and preceptorship status + enhancements. Independent advocacy services were available to all patients. 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. 1769, January 9 - married Catherine Charlton (Sister of Dr. John Charlton) in St . the father who moves mountains son found; babyganics shampoo + body wash; why is canada's literacy rate so high Find out more about our inspection reports. The leadership, governance and culture did not always support the delivery of high quality, person centred-care. There was no recorded evidence of staff and patients having an immediate debrief following an incident. On Bracken ward we observed two incidents where staff had kept the door of the toilet ajar when observing a patient in the day area. Senior managers told us the concerns that triggered the focused inspection were not a surprise and that Seacole was on their watchlist. Staff promoted equality and diversity in their support for people. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. Staff used positive behavioural support plans with patients effectively. One patient was pleased with the physical health doctor visit, however, was told by staff to use mouthwash but their preference was dental floss. Northampton, People and those important to them, including advocates, were actively involved in planning their care. Peoples quality of life was enhanced by the services culture of improvement and inclusivity. any actions the Charity Commission has taken against the charity. There were high numbers of vacant posts. 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. Staff had not completed the Elgar ward ligature risk assessment. The new ward manager and operational lead had recently started in their posts.
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