People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood each persons individual needs. Treatment of disease, disorder or injury. Bayley Ward uses medication led model and follows the nursing approach of Safewards which incorporates: Depending on their mental state, patients will be engaged on a suitable OT programme to facilitate recovery. 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. Managers did not provide a safe environment for patients. A second carer told us that staff keep us up to date, adding that they attend meetings and speak to both the social worker and care coordinator regularly. 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, the furniture in the night lounge was torn and dirty. Supervisions occurred monthly by peers rather than line managers in some areas. These groups are facilitated by Occupational Therapists, Psychology, Nursing, with sessions also by the Physical Health Nurse, Art Therapist and Advocacy. Staff did everything they could to avoid restraining people. The service did not have enough appropriately skilled staff to meet peoples needs and keep them safe, which meant some activities such as leave could not go ahead. All medication included on the ward from admission. All other conditions outlined in the section 31 notice of decision from July 2021 remained applicable. 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. Patients were given leave to attend church for private prayers. Appraisal of performance was undertaken annually. Managers ensured that these staff received training, supervision and appraisal. Arthur; Trick, Kerith Lloyd Kinsey (1989), St. Andrew's Hospital Northampton: the first 150 years, 1838-1988, . Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. The provider had not ensured that ward areas were always well maintained. Wards had a range of rooms for care and treatment and rooms for patients to meet visitors in private. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. In two services, care plans did not always reflect how to manage patients with physical health issues. The wards had enough nurses and doctors. Overview Latest inspection summary 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. Patients were involved with their care plans, had good access to physical healthcare and had access to activities organised by the Occupational therapist. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. Staff trained in British sign language (BSL) were available to patients on Fairbairn ward. Managers had not followed recommendations from an internal investigation into concerns raised. We will publish a report when our review is complete. Staff did not always keep patients safe from harm whilst on enhanced observations. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Forensic inpatient or secure wards have remained as an overall rating of inadequate. 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. Psychiatric intensive care service has remained the same as requires improvement. Staff and patients reported a smell of sewerage in the ensuite bathrooms of some rooms. Foster is a locked ward for male older adults. There was no recorded evidence of staff and patients having an immediate debrief following an incident. 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. 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. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. Inadequate Most wards were safe, visibly clean, homely and well furnished. Daily checks of the ligature cutters were not always completed. The following services and wards were visited on this inspection: Acute wards for adults of working age and psychiatric intensive care units: This service was one of three hospital sites chosen by NHS England to pilot a blended setting of medium and low security levels, to reduce overall length of stay in hospital. This meant people received compassionate and empowering care that was tailored to their needs. Governance, CQC ratings and Annual reports, Child and Adolescent Mental Health (CAMHS), Information for family, friends and carers, LightBulb Mental Wellness for Schools Program, Centre for Developmental and Complex Trauma. The largest UK medium secure service for deaf men aged between 18 and 65 years old. Staff supported one patient sensitively on the anniversary of a traumatic life event. The last comprehensive inspection of this location was in July and August 2021. There remain issues around mixed gender accommodation on some older adults wards. . Staff in the forensic service did not always complete handovers in line with the providers policy and procedures. 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. 10 February 2015. 1769, January 9 - married Catherine Charlton (Sister of Dr. John Charlton) in St . chase overdraft fee policy 24 hours; christingle orange cloves; northeast tennessee regional fire training academy; is srco3 soluble in water; basic science topics for nursery 2; bellflower property management; gifts from the holy land bethlehem; Suspended ratings are being reviewed by us and will be published soon. Multidisciplinary teams worked well together to provide the planned care. There were not always enough staff to safely carry out physical interventions and provide the required level of patient observations on Sunley ward. A physical healthcare team, based on site, were available during the week to offer support with patients physical healthcare needs. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. entry of bacteriophages and animal viruses into host cells. 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. Click hereto share your feedback. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Since its establishment in 2012, we have grown to a team of more than 20 architects, interior designers and urban designers working collaboratively with stakeholders to deliver excellence at every level. Managers sought to embed a culture promoting transparency, respect and inclusivity. However, staff told us that they would hear of incidents on other wards by word of mouth rather than through any formal means. The unit had a shared electronic device which patients could use to make video calls and a shared phone. Staff could access emergency physical health care from the providers emergency response teams and the local general hospital to cover out of hours emergencies. Levels of restraint significantly increased since the last comprehensive inspection across the forensic service. 30 October 2018, Published One patient was pleased with the physical health doctor visit, however, was told by staff to use mouthwash but their preference was dental floss. Managers did not ensure staff had the right skills, knowledge and experience to meet the needs of patients with a diagnosed eating disorder. 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 is performing well and meeting our expectations. Managers did not ensure established staffing levels on all shifts. Staff were unclear about the definitions and terminology relating to de-escalation, restraint, seclusion, segregation and extra care. Two patients told us that their escorted leave had been cancelled. We found in the older adults services that care plans were detailed, personalised and accurate to the care we observed being provided. People received care, support and treatment that met their needs and aspirations. 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. 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. Staff did not follow the providers policy and record all the medicines they had disposed of. However, we found the following areas of good practice: Published One patient said,' 'yes the staff are good here they are always ready to have a chat with you'. However, the service did not always have enough staff which meant that peoples programme of support was not always delivered in time. NN1 5DG. Staff failed to maintain reliable systems, processes and practice around medicine management. We don't rate every type of service. Staff told us they knew the whistleblowing policy and felt they could raise concerns without fear of victimisation. Concerns identified at previous inspections had not always been addressed. Managers ensured that these staff received training, supervision and appraisal. 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. We found that each patient had a daily schedule of therapeutic activities. 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". ACUTE-There are currently no Acute Male beds available. Inspection Report published 20 September 2013 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Staff did not always complete observations in line with patient care plans and the providers policy and procedures. Bayley PICU is a member of NAPICU and adheres to the NAPICU minimum standards and their admission criteria, Admission exclusion Criteria for PICU -Admission should not occur in the following circumstances. Nick oversees all areas of architectural design and delivery for the studio with broad experience in residential, commercial, cultural and leisure sectors. We also issued requirement notices for breaches of the following regulations: At this inspection, we found that the provider addressed most of the issues from the last inspection of 2021. Feedback from focus groups and information received through CQC also reported a bullying culture in some parts of the organisation. Staff on the forensic wards did not always follow infection control procedures. the service is performing exceptionally well. Staff received and kept up to date with training on the Mental Health Act and the Mental Health Capacity Act. We reviewed 22 out of 115 seclusion records from 1 April 2018 to 30 June 2018. Senior leaders were visible across the location and were approachable for patients and staff. 20 September 2013. 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) Managers had recently recruited a new senior nurse and staff were returning from long term sick leave. 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. Staff did not always provide patients with information about their rights under the Mental Health Act. We observed staff searching patients in communal areas on two wards. the service is performing exceptionally well. the service is performing well and meeting our expectations. One carer told us at the moment its great, the social worker is fantastic, and that there were regular updates from staff. The provider did not have an effective management supervision structure. the service isn't performing as well as it should and we have told the service how it must improve. Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. Northampton, We reviewed 21 care and treatment records for patients. People were in hospital to receive active, goal-oriented treatment. We rated it as requires improvement because: Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Find out more about our inspection reports. 13 February 2012. Patients had access, without supervision, to the main courtyard, however, there was a large opening in the ground of the courtyard that had been there for over 10 months without repair. Monday to Friday 9am to 6pm 03 9695 0222 info@bayleyward.com ABN 32 162 916 467. Your information helps us decide when, where and what to inspect. There were no formally reported cases of bullying or harassment when we visited the service. Staff in forensic services completed regular ligature risk assessments and wards contained very few ligature risks. Not every ward had a dedicated sensory room, but access to one in the same building. Seclusion rooms are available across our Neuro services where required. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. People were involved in managing their own risks whenever possible. Irene was a home-maker. Your information helps us decide when, where and what to inspect. Three patients told us that their planned activities had been cancelled. 25 February 2014. 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. We heard on rare occasions the transport was unavailable leaving both the staff and patient at risk. Chief Inspector of Hospitals. 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. 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. Staff did not always support patients physical health needs effectively at the longstay rehabilitation and forensic services. Company Information; FAQ; Stone Materials. Staff told us morale was increasing following a period of change over the last two years and told us their managers were supportive. We saw leadership at ward manager level. The multi-disciplinary team had not conducted reviews as required. We received the requested assurance. In forensic services, the receptionist controlled access to three buildings from one reception area and used CCTV monitors to control access. Risk items were only removed if the patient had informed a staff member and were kept in locked lockers. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Seven officers were called to deal with a disturbance at a Northampton hospital unit. The provider used bureau (St Andrews bank staff) and agency staff to fill vacant shifts. 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. 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). The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative. Managers continued with the planned change despite training not being available, due to coronavirus restrictions, and the ward not being sufficiently resourced. Staff promoted equality and diversity in their support for people. People received kind and compassionate care. Staff provided a range of care and treatment in line with best practice and national guidance (from relevant bodies e.g. Heritage ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent females with complex mental health needs. A patient is assessed as posing a significant risk of harm to others or extreme aggression towards property, Internally directed aggression. Staff received training in safeguarding and made appropriate referrals. 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. Insufficient improvements have been made such that there remains a rating of inadequate for any core service, key question or overall. Short term quarantining ensures the safety of all of our patients and staff. Staff undertook comprehensive assessments and developed care plans that were thorough, holistic and patient centred. There were recognised difficulties in the learning disability services in ensuring that the wards had the correct staff skill mix for the patients needs. Staff were not always updating patient risk assessments and care plans at the psychiatric intensive care and long stay rehabilitation wards. New admissions will need to isolate and complete a lateral flow test. Staff received annual appraisals and most staff received regular supervision. 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. We saw action plans arising from complaints and the resultant changes on the wards. 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. On Seacole Ward, there were errors in the recording of medication administration, Sitwell ward was not consistently documenting patients review of restraint.

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