Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. Staff had not completed full assessments for patients with a diagnosed eating disorder prior to admission. We had identified a similar issue in the June 2016 inspection. This meant that due to staff redeployment to work on other wards the arrangements in place to ensure people were supported by appropriately qualified and skilled staff were not being effectively managed. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.The service will be kept under review and if needed could be escalated to urgent enforcement action. Use Rightmove online house price checker tool to find out exactly how much properties sold for in St Andrew's Road, Northampton, Northamptonshire, NN2 since 1995 (based on official Land Registry data). 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. Patients will only be admitted to a PICU if they display a significant risk of aggression, absconding with associated risk, suicide or vulnerability (e.g. One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. 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? bayley ward st andrews northampton. Staff did not complete peoples enhanced and general observations in accordance with the provider policy and we found numerous gaps in the observations records. We carried out this inspection in response to concerning information received through our monitoring processes. 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. We found that the provider had taken account of our previous inspection findings and had introduced additional quality monitoring measures. Hotel and Leisure. This meant patients were not always able to communicate effectively with staff to make their needs known. 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. However, a significant number of shifts remained unfilled. Staff did not always create care plans for physical healthcare conditions. Arthur; Trick, Kerith Lloyd Kinsey (1989), St. Andrew's Hospital Northampton: the first 150 years, 1838-1988, . One patient told us that the staff we have are amazing. Two carers told us that the social worker was helpful and another two told us their relative was in the right place for the care and treatment they needed. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. Two patients told us that their escorted leave had been cancelled. They were respectful in their approach. Leaders did not always understand the issues, priorities and challenges the forensic and long stay rehabilitation services faced. Staff told us that the chief executive officer visited regularly. Requires improvement Compton is a locked ward for male and female older adult patients. To find out more about our PICU services and meet the team, watch our videos below, 2023 - All Rights Reserved St Andrew's Healthcare, 2. The wards did not have adequate psychology and occupational therapy provision for people on the wards. Managers on the learning disability wards and forensic wards did not make sure staff received specialist training for their role. Watkins House a longer term high dependency rehabilitation unit for women over 18, six beds. Managers ensured that staff had relevant training, regular supervision and appraisal. Males aged between 18 and 65 years old mental health issues that may include: These criteria are a guide for assessing suitability. Home; About Us. Appraisal of performance was undertaken annually. There were weekly manager and matron meetings to review issues, monthly quality and safety meetings, which included the managers, clinicians and compliance manager. Some staff used the Mental Capacity Act to assess capacity for individual decisions. In 1988 Frith won the Sports Council's British Sports Journalism award as Magazine Sports Writer of the Year. We reviewed minutes from a de brief session, which confirmed this. Staff had not received the necessary specialist training for their roles on Sunley ward. All medication included on the ward from admission. We saw that some staff had different supervisors each month. Carers reported issues with communication and gave examples of having to battle to be listened to and be involved. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. Physical healthcare services included dentistry and podiatry. Patients had good access to physical healthcare when needed. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. During our visit we saw some patients engaged in their daily activities, such as participating in current affairs sessions and playing board games with other patients and staff. Staff provided a range of activities for patients and activities were available seven days a week. We saw patients views were included in care plans and this included relatives where appropriate. Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. At Spring Hill House, we saw that refurbishments were taking place to the shower and bathing facilities. Boardman ward is a low secure inpatient ward that can accommodate up to 11 children and adolescent females with complex mental health needs. We saw action plans arising from complaints and the resultant changes on the wards. please let us know your views, opinions, thoughts or ideas to help us continuously improve. Menu. About Us. 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. Peoples care, treatment and support plans, reflected their sensory, cognitive and functioning needs. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare. Staffing levels at the time of the incidents were recorded in each report. We're a specialist charity that invests in innovative, patient-centric, holistic care. The neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. Type of organisation Voluntary Sector Service Descripton of organisation In patient Out patient Residential miles (straight line) miles (approximate road distance) Entry last updated 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. Since 1 February 2019, the Bayley PICU have been trialling body ward cameras on nurses. You can also Whatsapp /Call him at 9311740424 The remaining staff (2%) were out of date with training. 93%OFF 10OFF BOV2203AP ZETT cannabistrax.com the service is performing badly and we've taken enforcement action against the provider of the service. Click hereto share your feedback. Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. In some services staff did not assess patients capacity to consent to treatment appropriately. Regulation 17 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Good governance. Supervisions occurred monthly by peers rather than line managers in some areas. Professor Edward Baker Not all ward areas at the long stay rehabilitation service and learning disability and autism service were safe, clean and well maintained. Learning disability patients told us that the restrictions around the risk safety system made them angry. 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. Leadership development opportunities were available. Psychiatric intensive care service has remained the same as requires improvement. Heygate ward Male PICU N'ton Tel: 01604 616 111 Email: SAH.PICUMaleNorthampton@nhs.net, Bayley ward Male PICU N'ton Tel: 01604 614 584 Email: SAH.PICUMaleNorthampton@nhs.net, Audley ward Male PICU Essex Tel: 01268 723 930 Email: SAH.PICUMaleEssex@nhs.net, Frinton ward Female PICU Essex Tel: 01268 723 860 Email: SAH.PICUFemaleEssex@nhs.net, Benfleet ward - Male ACUTE Essex Tel: 01268 723 934 Email: SAH.ACUTEMaleEssex@nhs.net, Naseby ward - Male ACUTE Northampton Tel: 01604 616 179. 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. This meant that staff were not working to the most recent guidelines. 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. cio facial expressions test; uk employee working remotely from another country; blue yeti not showing up on blue sherpa; town of enfield ct tax bill search and pay However, we reviewed evidence that staff checked quality and temperature before serving food. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Leaders had delivered a project to address poor culture found at the last inspection. Staff did not learn from cleanliness audits. Staff understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005. Two services did not make timely repairs to the environment when issues were raised. Seclusion facilities were beingused for de-escalation and time out. 29 December 2012. Due to a planned power outage on Friday, 1/14, between 8am-1pm PST, some services may be impacted. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. Staff discussed current concerns and risk issues for all patients and agreed on actions required. Staff made prompt referrals for any further specialist physical healthcare input. 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. Staff did not always demonstrate the values of the organisation when supporting patients. St Andrews Healthcare Womens location has been registered with the CQC since 11 April 2011. Staff failed to maintain reliable systems, processes and practice around medicine management. Bayley, a psychiatric intensive care unit with 10 beds for women. The provider had removed 26 blanket restrictions following our last inspection. Not all staff had completed training in the Mental Health Act (MHA) or the Mental Capacity Act (MCA). Managers had access to dashboards for their teams, which gave details of staff compliance with mandatory training. Staff developed recovery-oriented care plans informed by a comprehensive assessment. We found examples of poor record keeping of handovers. A physical healthcare team, based on site, were available during the week to offer support with patients physical healthcare needs. Staff took part in a range of clinical audits, benchmarking and quality improvement initiatives. 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 was a chaplaincy service and access to spiritual leaders for other faiths. 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. Staff did not always support patients physical health needs effectively at the longstay rehabilitation and forensic services. Qualified Psychologist - Learning Disability & ASD There were meeting three times in a 24-hour period to review staffing across all wards. Staff used clinical and quality audits to evaluate the quality of care. The new ward manager and operational lead had recently started in their posts. Last year it said improvements . Managers ensured that these staff received training, supervision and appraisal. If a patient has been discharged from their MHA detention at short notice, there may be a short period of time during which they remain on the PICU informally until an onward care plan and pathway is arranged. How many of them have died in St Andrews? 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. 113, St Andrews . On Church ward, staff behaviour did not always display the values of the organisation and people told us that attitudes of staff at night were not always kind and respectful. The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. Our rating of this location stayed the same. A new application for a registered manager was in progress at the time of the inspection. Staff had not met all patients physical health needs. Staff on the forensic wards did not always follow infection control procedures. One patient felt the unit was the safest place ever, and staff were always available when needed but were always busy. We found gaps in observation records. 3. Staff told us that they dreaded coming into work and felt professionally vulnerable. 7 August 2017, Published Seven officers were called to deal with a disturbance at a Northampton hospital unit. We don't rate every type of service. Staff at the learning disability and autism wards were unable to define a closed culture or describe how they ensured patients were protected from the risks associated with a closed culture developing. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. However, this was not always the case with night staff on Church ward. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. 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. Four patients told us that there was a lack of health food options and that the quality of the food was variable. There was no recorded evidence of staff and patients having an immediate debrief following an incident. Patients should be detained under the MHA 1983 (all section papers are checked before accepting admission) and patients are not admitted under section 136. The leadership, governance and culture did not always support the delivery of high quality, person centred-care. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas. Staff had reported a high number of drug errors in Willow ward. Agency staff did not have access to all of the systems, adding additional responsibilities onto the permanent staff. Our PICUs offer a short period of rapid assessment, intensive treatment and stabilisation for people with acute phases of mental illness who are in need of emergency psychiatric care. In total we spoke with ten patients. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. Staffing levels at night were particularly low. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. 16 September 2016, Published Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. The provider had plans to improve this, but these had not yet commenced. However, we found the following areas of good practice: Published 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. 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. They were knowledgeable about the principles of PBS and were involved in observing behaviour and reporting to the multidisciplinary team to enable planning. Please discuss this with the ward to arrange. 13 February 2012. Nick Readett-Bayley, graduate of the Bartlett School of Architecture, established BayleyWard in early 2013 having arrived in Australia in 2010. Staff received annual appraisals and most staff received regular supervision. There was no evidence that the provider undertook regular and effective audits of these issues. Managers had not ensured a safe environment at the learning disabilities service. The providers governance processes had not addressed staff failures to follow the providers procedures on enhanced observations, handovers and safety checks. 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 completed patients risk assessments in a timely manner and updated these after incidents. Billing Road, Northampton, Northamptonshire, NN1 5DG Seclusion rooms are available across our Neuro services where required. 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. Staff had not always followed the providers policy on patient observations in two services. 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 Staff on Spencer North did not know where to find the ligature audit. This ensured learning not just from their own ward but from other services. We will publish a report when our review is complete. Regulation 13 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safeguarding service users from abuse and improper treatment. Staffing numbers did not meet establishment levels. Whilst managers and the health and safety lead had completed ligature audits for Spencer North and Sitwell wards within the last six months prior to inspection, there was no hard copy of the ligature audit and assessment available. On Seacole Ward, there were errors in the recording of medication administration, Sitwell ward was not consistently documenting patients review of restraint. Long stay / rehabilitation wards for working age adults: Wards for people with learning disabilities or autism: Wards for people with a learning disability or autism: people said that they felt well supported by kind, caring and engaged staff who were interested in their well-being and did their best to provide them with the support they needed. Staff understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005. Managers said they felt supported and staff said they felt valued. 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. 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. 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. Teams held regular and effective multidisciplinary meetings. At least one standard in this area was not being met when we inspected the service and 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 Nurse- Deaf ServiceLocation: NorthamptonFull time - 37.5 hoursSalary: 29,062-29,884 depending on experience and preceptorship status + enhancements. 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. All staff we spoke with in learning disabilities services followed positive behaviour planning (PBS) and least restrictive practices. People were supported by staff to pursue their interests. In adolescent services, one seclusion room had a faulty two-way intercom system. People and those important to them, including advocates, were actively involved in planning their care. The provider managed quality and safety using a variety of tools. Peoples care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. You'll be coming to a world-class facility with its own teaching hospital and academic centre. People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. 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. One patient told us they really enjoyed being involved in the community meetings and looked forward to them. Suspended ratings are being reviewed by us and will be published soon. If you have used our PICU services,please let us know your views, opinions, thoughts or ideas to help us continuously improve. Suspended ratings are being reviewed by us and will be published soon. Nurse managers reported they received prompts from the providers training department when staffs mandatory training or refreshers were due. Other patients on the ward could hear the patient in the toilet. Conditions were placed on the provider's registration that included the following requirements; 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. Walton is for male patients with Huntingdons disease. the service isn't performing as well as it should and we have told the service how it must improve. 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. 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. the service is performing exceptionally well. Senior leaders were visible across the location and were approachable for patients and staff. Staff were not always updating patient risk assessments and care plans at the psychiatric intensive care and long stay rehabilitation wards. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. Northampton, In rehabilitation, adolescent and forensic services, staff did not always complete physical healthcare monitoring following administration of rapid tranquilisation or commencement of seclusion. Staff stated that that the training offered by St Andrews was excellent. Daily checks of the ligature cutters were not always completed. The location was rated as inadequate overall and placed into special measures. Browser Support Patient is assessed as presenting too high an internal or perimeter security risk for the PICU, requiring a Medium or High secure PICU, The patient has a primary diagnosis of Substance misuse and the primary purpose of admission is solely to prevent access to substances, The patient has a primary diagnosis of Dementia, Learning Disability and Personality Disorder, Patients physical condition is too frail to allow their safe management on a PICU, Patient has a chronic condition which would not benefit from admission to PICU, The patient is restricted ( subject to MHA 1983 , via the courts ,Ministry of Justice) and has no clear pathway or provision for transfer from the PICU once clinically warranted, Patient must be 18 years and over and not above 65 years, Mental health awareness, including: understanding stress, understanding medication, substance misuse and understanding unusual experiences (psychosis), Therapy areas including crafts, information technology (IT) skills, kitchens and vocational rehabilitation. There were appropriate systems for managing and recording complaints. We will publish a report when our review is complete. gotrax scooter not accelerating. 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. At the time of the inspection, the provider had applied to change its registration with the Care Quality Commission to one location instead of multiple registrations across one site. Staff provided a range of care and treatment interventions suitable for the patient group. Staff supported one patient sensitively on the anniversary of a traumatic life event. Staff did not always treat patients with kindness, dignity and respect. Harper specialist ward for male and female patients with Huntingdons disease. The complaints process was not always clearly displayed on the wards in formats people can understand. 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. In older adults services the provider did not always reduce the risk from blind spots. Data provided showed a downward trajectory in the use of restraint and in the use of prone restraint. We received the requested assurance. 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. Not all seclusion rooms considered the privacy and dignity of patients. The management team was in the process of reforming the culture on this ward. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. St Andrews Healthcare Womens location is registered to provide the following regulated activities: This location has been inspected ten times. Staff did not provide a range of care and treatment options suitable for this patient group. 7: Sir William Wake 9th Bt 17681846 page . 16 September 2016. Inspection Report published 20 September 2013 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published On most wards, staff updated patients risk assessments regularly and included patients individual needs. The admissions cannot be carried over to following weeks should an admission not occur. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. However, the provider does have various avenues through which staff can raise grievances and concerns.