They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. Northampton, 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. Peoples quality of life was enhanced by the services culture of improvement and inclusivity. Senior leaders were visible across the location and were approachable for patients and staff. 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. Staff did not always follow National Institute for Health and Care Excellence guidance for the use of rapid tranquillisation on Sunley ward. One patient told us they really enjoyed being involved in the community meetings and looked forward to them. 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. Your information helps us decide when, where and what to inspect. the service is performing exceptionally well. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. Naseby ward, a longer term high dependency rehabilitation unit for women over 18, providing comprehensive dialectic behaviour treatment (DBT) with a diagnosis of borderline personality disorder (BPD), 12 beds. There remain issues around mixed gender accommodation on some older adults wards. People made choices and took part in activities which were part of their planned care and support. We reviewed one patients records who had been administered rapid tranquillisation medication twice in one day. 93%OFF 10OFF BOV2203AP ZETT cannabistrax.com Staff had quick access to ligature cutters and pocket masks (for use in mouth to mouth resuscitation) in different areas of the wards. Agency and bank staff did not have adequate information about individual patient care and any safeguarding protection plans on the wards where they are working. 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. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. Leadership development opportunities were available. Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. Staff on the forensic, long stay rehabilitation and learning disability and autism wards did not always treat patients with compassion and kindness. Our team are expert in treating people with acute mental illness and complex needs, offering a range of group and individual therapeutic interventions to meet the patients needs at different stages of their recovery, including: Once risk is reduced and the patients mental state and behaviour has been stabilised, transfer to an appropriate facility will take place we focus on moving individuals on to these services and back in to less secure or community setting as soon as possible. The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced. Nick oversees all areas of architectural design and delivery for the studio with broad experience in residential, commercial, cultural and leisure sectors. 3. The service worked to a recognised model of mental health rehabilitation. We could detect a strong smell of urine in some bedrooms. Family and friends telephone line: 01604 614570. Northampton, 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. Any other browser may experience partial or no support. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Managers continued with the planned change despite training not being available, due to coronavirus restrictions, and the ward not being sufficiently resourced. The management team was in the process of reforming the culture on this ward. 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. Health watchdog bars mental health provider from admitting new - ITVX 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. We were told that ward community meetings took place and we saw records of the meetings were kept. Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. The service did not meet the model of care set out in Right Support, Right Care, Right Culture. fruit), that there was a lack of healthy food options on the menus. Let's make care better together. Managers ensured that staff had relevant training, regular supervision and appraisal. Bayley ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning+ disabilities / autistic spectrum disorder. She was a member of the former St. Andrews Episcopal Church where she was very active, including being a member of the choir and the Altar Guild. A patient is assessed as posing a significant risk of harm to others or extreme aggression towards property, Internally directed aggression. Referrals accepted direct from Clinical Commissioning Groups and Foundation Trusts. 24 September 2020. Staff knew and understood people well and were responsive. This meant staff may not be clear what behaviour was expected in certain situation. Staff at the forensic service used derogatory and inappropriate language to describe patients. (later Organist at the University of St Andrews, Scotland) 2009 Oliver Waterer (later Organist at St. David's . the service isn't performing as well as it should and we have told the service how it must improve. 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. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. PDF Freedom of Information Request Ref: FOI 319-1819 In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. 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. 2. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Here are seven reasons why: 1. We saw leadership at ward manager level. The provider reported that the frequency of incidents had reduced following our inspection visits. Staff used closed circuit television (CCTV) to monitor patients. Managers had not notified CQC about seven out of eight safeguarding incidents and had not referred one to the local authority safeguarding team. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. Facilities and premises used on Elgar and Spring Hill wards were not appropriate for the service being provided. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. We observed a senior member of staff dismiss a patient who asked to speak with them about safeguarding concerns. New admissions will need to isolate and complete a lateral flow test. Staff stated that that the training offered by St Andrews was excellent. On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. The providers governance processes had not addressed staff failures to follow the providers procedures. Patients described the new dietician as amazing. Company Information; FAQ; Stone Materials. 1999 Winchester City Council election - Wikipedia Staff cared for patients who presented with behaviour that challenged. As a result, discharge was rarely delayed for other than a clinical reason. Walton is for male patients with Huntingdons disease. They told us that staff only used restraint when it was needed, and patients were given a debrief afterwards. Harper specialist ward for male and female patients with Huntingdons disease. 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. Staff and patients spoke highly of the new manager and we observed that positive changes had been made on our second visit. A third carer told us that staff inform them of any issues, that staff keep them in the loop, and described the service was totally and utterly amazing. We saw evidence in progress notes that staff sought support from the providers physical health team when required. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. Forensic inpatient and secure wards: all patients told us that they had received advice regarding their medications. Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. The provider used bureau (St Andrews bank staff) and agency staff to fill vacant shifts. A female ward c 1920 . Some staff did not demonstrate understanding about appropriate use of seclusion facilities in the learning disability services. There were robust systems in place for reporting and investigating incidents and complaints. 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. Patients and staff told us that staff shortages often resulted in staff cancelling escorted leave, hospital appointments and activities across all cores services. 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. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. However, one carer told us that there had been problems with communication, adding that no one had sought the families opinion. Any other browser may experience partial or no support. Patients told us there were limited food options, especially if vegetarian. These older reports are from our old approaches to inspection, including those from before CQC was created. 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. 10 June 2020. Frith has written dozens of books on both cricket in modern times and cricket of the past, mainly focussing on Ashes Test Match history. The new ward manager and operational lead had recently started in their posts. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. Senior staff monitored incidents and discussed outcomes and learning from them in team meetings. The PICU hospital director offered regular open clinical between 7pm and 9pm which were open for staff to attend. We were told that there were issues around maintaining staff on Fairburn ward who were trained in British sign language (BSL). Cranford is a medium secure ward for male older adult patients. Staff we spoke with knew where information was, however, information was not consistently in the same place for each record. Managers had recently recruited a new senior nurse and staff were returning from long term sick leave. The wards had enough nurses and doctors. Staff did not always keep patients safe from harm whilst on enhanced observations. People were supported to be independent and their human rights were upheld. Staff had not always followed the providers policy on patient observations in two services. Feedback from focus groups and information received through CQC also reported a bullying culture in some parts of the organisation. Medical staff told us clinical decisions were made at a senior level without any evidence based rationale or consultation at a clinical level. The Bayley Ward team aims to provide a high-qualityservice offering assessment, treatment, care and security for men who are in an acutely disturbed phase of a serious mental disorder. This meant there was no consistency and managers could not be sure that supervisors were addressing performance issues. Staff assessed and managed risk well and followed good practice with respect to safeguarding. the service isn't performing as well as it should and we have told the service how it must improve. The ward was not resourced with equipment required to support patients with an eating disorder. 5 October 2022. We rated St Andrews Healthcare Womens service as inadequate because: Published The provider had not fully responded to the needs of patients on the long stay rehabilitation and learning disability and autism wards. Full text of "The Baptist Quarterly 1973-1974: Vol 25 Index" See other formats The Baptist Quarterly incorporating the Transactions of the Baptist Historical Society NEW SERIES VOLUME XXV 1973-1974 Publidied by tbe Baptist Historical Society, 4, Soudamiptoo Row, Loodon, WCIB 4AB. Staff reported incidents accurately and in line with the providers policy. Seacole ward had outstanding maintenance issues. The PICU ward was affiliated to the National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU). Staff had not completed seclusion and long-term segregation care plans for all patients. Staff supported patients to engage with the wider community. Back in January 2019 it placed St Andrew's Healthcare's Fitzroy House in Northampton - a hospital for adolescents with mental health problems - in special measures. This service was placed in special measures on 10 June 2020. There were high numbers of vacant posts. House of Commons Hansard Debates for 27 Jun 2001 (pt 29) 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. However, we did find that improvements were needed to meet full compliance with the regulations in relation to the use of seclusion. 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. The origins of the General Lunatic Asylum later St Andrews Hospital Northampton . 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 supported them to achieve their goals. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. House of Commons Hansard Debates for 27 Jun 2001 (pt 30) Patients told us staff worked hard and were kind to them. Two services did not make timely repairs to the environment when issues were raised. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing impaired (profound, severe, partial or hard of hearing . Risk items were only removed if the patient had informed a staff member and were kept in locked lockers. However, staff told us that they would hear of incidents on other wards by word of mouth rather than through any formal means. However, safe staffing (a national challenge in the ongoing pandemic of COVID-19) and gaps in observations records remained an issue on forensic inpatient wards and remained a breach of regulation 12 and 18. The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. 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. Leaders at the long stay rehabilitation services did not have the skills, knowledge and experience to perform their roles. There were meeting three times in a 24-hour period to review staffing across all wards. However, some areas of the hospital, in particular the bathrooms and one seclusion room, required further work to meet these standards. The provider had removed 26 blanket restrictions following our last inspection. The provider had not addressed the issue identified in the June 2016 inspection whereby staff were trained in two types of managing aggression and restraint. entry of bacteriophages and animal viruses into host cells. Staff received training in de-escalation skills and conflict resolution. Therefore, we are taking action in linewith our enforcement procedures to begin the process of preventing the provider from operating the service. Staff had not always followed the providers policy on patient observations in two services. The provider had strengthened the implementation of positive behaviour support planning since the last inspection in June 2016. 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. Managers had access to dashboards for their teams, which gave details of staff compliance with mandatory training. 16 September 2016. One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. 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. Child and Adolescent Mental Health Services (CAMHS) 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 children (0 - 18yrs), caring for people whose rights are restricted under the mental health act, eating Staff had not always recorded in the patients clinical records, the rationale for seclusion, or the time that a period of seclusion had ended. Safe was rated as inadequate, effective rated requires improvement, caring rated inadequate, responsive rated requires improvement and well led rated as inadequate. bayley ward st andrews northampton - funding-group.com Staff administered backslaps and dislodged the food. 13: . Menu. Find out more about our inspection reports. All staff we spoke with in learning disabilities services followed positive behaviour planning (PBS) and least restrictive practices. 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. The therapeutic value of regular engagement with family and friends can be key to a persons recovery and thankfully we are now able to welcome family and carers back on site. Staff had completed person centred and holistic care plans for 20 patients reviewed. St. James End, Northampton - St. James End, Northampton 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. Staff were not completing risk assessments on Elgar ward, with information being copied between records for different patients. . Watkins House a longer term high dependency rehabilitation unit for women over 18, six beds. They told us this affected the quality of the service they received and restricted their engagement in planned therapeutic activities. Independent advocacy services were available to all patients. Staff did not always feel respected, supported and valued on the long stay rehabilitation and learning disability and autism wards. It often occurred that staff were trained up to a level to work with patients, then moved to work on other wards. The provider reported that 12% of shifts were unfilled between 01 February 2019 and 31 January 2020. At Spring Hill House, we saw that refurbishments were taking place to the shower and bathing facilities. Regulation 9 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Person-centred care. 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. 10 February 2015. cassandra jones artist; taiwanese urban legends. Child and Adolescent Mental Health Services (CAMHS), Northampton If you have used our PICU services,please let us know your views, opinions, thoughts or ideas to help us continuously improve. The policy around such practice was ambiguous and this was confirmed by the records we viewed. Browser Support The service provided care, support and treatment from trained staff and specialists able to meet peoples needs. Menu. More. Staff were not always updating patient risk assessments and care plans at the psychiatric intensive care and long stay rehabilitation wards.
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