Multidisciplinary teams worked effectively across all wards. To make a PICU enquiry or discuss a referral please contact our wards directly We don't rate every type of service. This posed a risk to staff and patients if staff were following two different approaches. The service managed beds well so that a bed was always available locally to a person who would benefit from admission and patients were discharged promptly once their condition warranted this. Willow ward, a 10-bed medium blended secure service for women. Learning disability patients told us that the restrictions around the risk safety system made them angry. However, monitors were visible to staff from the office and to patients on entering or leaving the adjacent low stimulus room. the service is performing well and meeting our expectations. The provider reported that 1,698 shifts out of 15,788 were unfilled for the period 1 February 2018 to 30 June 2018. 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. We found gaps in hourly observation records on 193 out of a possible 1,008 occasions. On PICU, forensic, rehabilitation and older adults wards staff had not uploaded the MHA legal detention papers in full to the electronic system. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. Acute and Psychiatric Intensive Care Units. 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. We found that routine restrictive practices were in place to manage risk, behaviours related to daily care and treatments were measured using generic levels. Browser Support 30 October 2018, Published the service is performing badly and we've taken enforcement action against the provider of the service. Harper specialist ward for male and female patients with Huntingdons disease. The PICU hospital director offered regular open clinical between 7pm and 9pm which were open for staff to attend. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. There had been improvements since the last inspection. 7 August 2017, Published 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. Agency staff did not have access to all of the systems, adding additional responsibilities onto the permanent staff. 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 reviewed incidents where staff had not provided physical health interventions as required and staff did not always record patients physical health or nutritional needs. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. 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. The provider reported 13 forensic service failure incidents due to staff shortages between 01 September 2019 and 29 February 2020. Medical staff raised an issue about completing medical reviews for seclusion at night with only one doctor on duty for the site, and a second doctor available until midnight. People and those important to them, including advocates, were involved in planning their care. Staff developed recovery-oriented care plans informed by a comprehensive assessment. Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. Regulation 18 CQC (Registration) Regulations 2009 Notification of other incidents. The leadership and governance did not always support the delivery of high quality, person centred-care. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. We visited Spring Hill House, Sitwell and Stowe wards. People were supported to be independent and their human rights were upheld. Care focused on peoples quality of life and followed best practice. 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 Nurse- Deaf ServiceLocation: NorthamptonFull time - 37.5 hoursSalary: 29,062-29,884 depending on experience and preceptorship status + enhancements. Updated 1st Jul 2021, 10:14am A former St Andrew's Healthcare carer who kissed a 'vulnerable' mental health patient five times was spared jail at Northampton Crown Court yesterday (Wednesday,. Staff trained in British sign language (BSL) were available to patients on Fairbairn ward. The service did not have robust governance processes in place to ensure that due consideration was given to recommendations from external reviews and ensure that actions were followed up. Nick oversees all areas of architectural design and delivery for the studio with broad experience in residential, commercial, cultural and leisure sectors. The service did not have enough nursing and support staff to keep patients safe at all core services. We're a specialist charity that invests in innovative, patient-centric, holistic care. Staff had not always followed the providers policy on patient observations in two services. The wards did not have adequate psychology and occupational therapy provision for people on the wards. Posted by June 8, 2022 maine assistant attorney general salary on bayley ward st andrews northampton June 8, 2022 maine assistant attorney general salary on bayley ward st andrews northampton Staff did not manage risks to patients and themselves well. Staff had quick access to ligature cutters and pocket masks (for use in mouth to mouth resuscitation) in different areas of the wards. Staff on forensic inpatient or secure wards did not always undertake and record physical health observations following rapid tranquilisation. Sitwell ward was not following St Andrews Seclusion policy with regard seclusion reviews with patients. 2023 - All Rights Reserved St Andrew's Healthcare, 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, Significant risk of harming themselves or others. We will publish a report when our review is complete. Frith has written dozens of books on both cricket in modern times and cricket of the past, mainly focussing on Ashes Test Match history. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. The service worked to a recognised model of mental health rehabilitation. 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. Following our inspection, we served an urgent Notice of Decision because of the immediate concerns we had about the safety of 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. Suspended ratings are being reviewed by us and will be published soon. Patients could access garden areas and open spaces. 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. 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. St Andrews Hospital is a mental health facility in Northampton, . The 1999 Winchester City Council election took place on 6 May 1999 to elect members of Winchester District Council in Hampshire, England. BayleyWard holds the following certifications: ISO 9001:2015 / ISO 45001:2018 / ISO 14001:2015. . A relative we spoke with told us the team on the ward liaised well with her relatives professional team in their home area to ensure the care was effective and were accurately informed of their progress. We rated it as requires improvement because: Published Download easy to read version for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Learning Disabilities Reviews Report published 13 February 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published 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. Staff used positive behavioural support plans with patients effectively. Staff were not always updating patient risk assessments and care plans at the psychiatric intensive care and long stay rehabilitation wards. As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. Two patients told us that their escorted leave had been cancelled. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas. Patients told us that due to high levels of bank and agency staff who did not know them caused them to be cared for and treated differently. Staff had completed person centred and holistic care plans for 20 patients reviewed. (01604) 616000, Provided and run by: Staff had not escalated these issues to estates management, leading to an unpleasant environment for patients. Here are some brief highlights of Dr. Richard Bayley's life: 1745 - Richard Bayley is Born in Fairfield CT. 1765 - 1769 - studied medicine under Dr. John Charlton, son of Reverend Richard Charlton, rector of St. Andrew's Episcopal church, Staten Island. We found that staff were not aware of learning from complaints, incidents and internal and external investigations. Some staff used the Mental Capacity Act to assess capacity for individual decisions. Foster is a locked ward for male older adults. due to sexual disinhibition or over-activity) in the context of a serious mental illness. Peoples risks were assessed regularly and managed safely. There were meeting three times in a 24-hour period to review staffing across all wards. Billing Road, Northampton, Northamptonshire, NN1 5DG 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. Care records confirmed that the room was used regularly and recently. Tallis, Tavener, Althorp, Berkeley Close (1st floor) are male locked wards. 93%OFF 10OFF BOV2203AP ZETT cannabistrax.com 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. This was because of the air exchange system sending columns of cold air directly downwards when the ward gets above 28 degrees. 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. Staff received regular supervision and had received annual appraisal. If you are facing any difficulties, reach out to Mr. Sonu at mgp.ta@flaviant.com with your Payment Receipt and Mobile Number. One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. NN1 5DG. One third of the council was up for election and the Liberal Democrats stayed in overall control of the council. Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published In rehabilitation, adolescent and forensic services, staff did not always complete physical healthcare monitoring following administration of rapid tranquilisation or commencement of seclusion. Suspended ratings are being reviewed by us and will be published soon. 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. In the psychiatric intensive care unit (PICU) some bedrooms, bathroom and shower areas were dirty and carpets were not clean. Patients described occasions when they were distressed and staff ignored them. Staffing levels at the time of the incidents were recorded in each report. We found on Tavener ward that informal patients were asked to sign a contract for granted leave, which does not reflect the Mental Health Act. St Andrew's Healthcare. 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. We rated it as inadequate because: Following our inspection we took urgent action because of immediate concerns we had about the safety of patients on the forensic, long stay rehabilitation and learning disability and autism wards. Practice nurses from the GP surgery attended the wards to address patients physical healthcare needs. We rated it as inadequate because: OConnell ward is a locked ward for male older adults. Staff ensured most patients needs were assessed and met within care plans. Wards had family friendly visiting rooms along with policies and procedures for children visiting. Hotel and Leisure. Independent advocacy services were available to all patients. Leadership had been strengthened and new ways of working implemented to improve the patient experience. This meant staff could not find the most up to date plan of how to care for people using the service. Patients told us there were limited food options, especially if vegetarian. Feedback from the outcome of complaints was not shared with the complainant on all occasions. We found gaps in observation records. Due to a planned power outage on Friday, 1/14, between 8am-1pm PST, some services may be impacted. We reviewed 22 out of 115 seclusion records from 1 April 2018 to 30 June 2018. 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. Staff had reported a high number of drug errors in Willow ward. 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. 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. NFHS is committed to protecting its members' privacy. There had been an incident one weekend where there were no nasogastric trained staff available to administer the nasogastric feeds to a patient requiring this intervention. On our second visit we were assured that senior leaders had started to address the concerns and were providing the ward with the support needed. Staff did not always complete physical healthcare monitoring for patients prescribed specific medications and staff did not complete the relevant chart regularly or appropriately. This ensured learning not just from their own ward but from other services. Staff did not ensure that patients had a care plan in place for the use of rapid tranquilisation in line with policies and procedures. When reception staff were away from their desk, access to the building was delayed for patients. Staffing numbers did not meet establishment levels. The seclusion room on Church ward did not have shower facilities. Bayley, a psychiatric intensive care unit with 10 beds for women. Andrew ARROWSWORD - 40 - ST Ben LORENNION - 28 - ST Iain CYN . Staffing was below the establishment number for five incidents reviewed. However, six patients told us that there were often not enough staff on the ward, another patient said the number of staff on duty on the day of inspection was fake adding that half the staff dont work on this ward. Nine out of fourteen self harm incidents reviewed occurred due to staff not completing enhanced observations as prescribed. Staff provided a range of care and treatment in line with best practice and national guidance (from relevant bodies e.g. However, this was not always the case with night staff on Church ward. St Andrew's Healthcare Northampton Northamptonshire NN1 5DG Telephone: 0800 434 6690 Email: admissions@standrew.co.uk http://www.stah.org/services/brain-injury.asp. The ward was not resourced with equipment required to support patients with an eating disorder. Staff did not always demonstrate the values of the organisation when supporting patients. Forensic inpatient or secure wards have remained as an overall rating of inadequate. Patients that have received a positive result can end their isolation before the 10 days if they have 2 consecutive negative LFT results 24 hours apart. Patients were at risk of continuing harm. 220: . People had a choice about their living environment and were able to personalise their rooms. Any other browser may experience partial or no support. Inadequate The remaining staff (2%) were out of date with training. They were respectful in their approach. This meant that they were able to receive independent support to help them express their views and assist with any appeal against their detention under the MHA if they so wished. We reviewed ten team meeting minutes from January 2018 and weekly memos from 1 June 2018 sent by managers to staff and there was evidence of one incident being discussed in one meeting. Referrals accepted direct from Clinical Commissioning Groups and Foundation Trusts. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. fruit), that there was a lack of healthy food options on the menus. please let us know your views, opinions, thoughts or ideas to help us continuously improve. Daily checks of the ligature cutters were not always completed. Six out of nine patients said they had been involved in their care planning. There were meeting three times in a 24-hour period to review staffing across all wards. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas, although the provider reported these immediately. We received the requested assurance. The provider was not compliant with the Mental Health Act Code of Practice. Arthur; Trick, Kerith Lloyd Kinsey (1989), St. Andrew's Hospital Northampton: the first 150 years, 1838-1988, . 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. Staff had not completed care plans that met all the needs of patients with a diagnosed eating disorder. Nick Readett-Bayley, graduate of the Bartlett School of Architecture, established BayleyWard in early 2013 having arrived in Australia in 2010. 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. We would like to show you a description here but the site won't allow us. Click here for our dedicated Neuro Rapid Response service page. Bayley ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning+ disabilities / autistic spectrum disorder. Police were called to St Andrew's Hospital's Marsh ward at just before 6pm . Not all wards had a seclusion facility available for use. For family visiting our Northampton site, St Andrew's are able to offer accommodation locally to aid your support of a loved on in our crisis services. People received care, support and treatment that met their needs and aspirations. Managers had not ensured a safe environment at the learning disabilities service. Two patients told us that their families did not live locally and they were not happy because their families were unable to visit on a regular basis. Feedback from focus groups and information received through CQC also reported a bullying culture in some parts of the organisation. Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. The provider told us they shared learning from incidents via alerts sent by email. Patients told us that there was not enough food, catering staff did not send meals or sent the wrong meals, food was sometimes "mouldy" and was not always cooked properly. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. Our rating of this location improved. 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. Staff did not always keep patients safe from avoidable harm whilst on enhanced observations on the forensic wards and on the psychiatric intensive care unit. Services for people with acquired brain injury, Wards for people with a learning disability or autism, Long stay or rehabilitation mental health wards for working age adults, Wards for older people with mental health problems, Acute wards for adults of working age and psychiatric intensive care units. The majority of patients felt they were supported well by the staff team on the ward. Staff did not always act to prevent or reduce risks to patients and staff. Staff assessed and managed risk well. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. The provider told us they were going to fit a safe diffuser over all of the ducts to try to diffuse the cool air over a larger area. Regulation 9 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Person-centred care. You can also Whatsapp /Call him at 9311740424 Patients could personalise their bedrooms and had lockable spaces to secure possessions. 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.