220: . 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. [1] After the election, the composition of the council was: Liberal Democrat 34. We found gaps in observation records. Staff had not received the necessary specialist training for their roles on Sunley ward. We saw leadership at ward manager level. Bayley Ward (VIC) Pty Ltd. BayleyWard VIC (Head Office) 21-23 Chessell St Southbank VIC 3006. We will publish a report when our review is complete. Data provided showed a downward trajectory in the use of restraint and in the use of prone restraint. 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. Staff told us when shifts were not filled, staff moved between wards to meet patient need or wards worked short of staff. the service is performing exceptionally well. We rated St Andrews Healthcare Womens service as inadequate because: Published Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. Bayley, Hugh Beard, Nigel Begg, Miss Anne Beith, Rt Hon A J Bell, Stuart Benn, Hilary Bennett, Andrew Benton, Joe Berry, Roger Best, Harold Betts, Clive Blackman, Liz Blears, Ms Hazel Blizzard, Bob Blunkett, Rt Hon David Boateng, Rt Hon Paul Borrow, David Bradley, Rt Hon Keith (Withington) Bradley, Peter (The Wrekin) Bradshaw, Ben Brake, Tom There were regularly high numbers of bank and agency staff used across these wards. 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. Staff did not always complete observations in line with patient care plans and the providers policy and procedures. Prior to Strat City's founding and the expansion of FAS, Stadium-of-Northampton was the largest venue in the country, seating 25,000. . Not every ward had a dedicated sensory room, but access to one in the same building. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. One ward team did not have access to a specialist dietician, which was required to meet the needs of patients. The provider reported that the frequency of incidents had reduced following our inspection visits. However, Naseby in Northampton may be able to admit over the weekend, please contact the ward directly on the number below for an update. Staff had not always followed the providers policy on patient observations in two services. Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition. The admissions cannot be carried over to following weeks should an admission not occur. Staff did not provide a range of care and treatment options suitable for this patient group. 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. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. Our rating of this location improved. 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. Staff had not always followed the providers policies and procedures when they needed to search patients or their bedrooms to keep them safe from harm. The provider had improved governance systems and carried out recruitment drives to attract staff. The complaints process was not always clearly displayed on the wards in formats people can understand. The remaining staff (2%) were out of date with training. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. 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. Staff were caring and keen to do the best for the patients. Let's make care better together. Boardman ward is a low secure inpatient ward that can accommodate up to 11 children and adolescent females with complex mental health needs. Staff had not met all patients physical health needs. Staff used positive behavioural support plans with patients effectively. People made choices and took part in activities which were part of their planned care and support. Staffing was below the establishment number for five incidents reviewed. fruit), that there was a lack of healthy food options on the menus. Regulation 18 CQC (Registration) Regulations 2009 Notification of other incidents. Managers had not ensured a safe environment at the learning disabilities service. We spoke with a senior member of staff who described patients with an eating disorder as not a patient group who inspires excitement. 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. Staff did not allow patients to have snacks outside these times. 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. The new ward manager and operational lead had recently started in their posts. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. The provider would pay these staff a bursary to support their training, following which they would return to work at St Andrews for a minimum of two further years. Staff used clinical and quality audits to evaluate the quality of care. Patients were given leave to attend church for private prayers. We found staff did not always safely manage medicines and act on audit results on three services we inspected. Staff had not escalated these issues to estates management, leading to an unpleasant environment for patients. Senior staff monitored incidents and discussed outcomes in team meetings. People and those important to them, including advocates, were actively involved in planning their care. We don't rate every type of service. Published They minimised the use of restrictive practices and followed good practice with respect to safeguarding. 24/7 admissions service with decision within an hour of a referral. 13: . We accept NHS or privately funded referrals across our assessment and therapy services. People told us that staff tried their best to accommodate leave and took them out on group outings, but they did not always have sufficient staff to carry out some activities. However, we found the following areas of good practice: Published Staff completing extended periods of enhanced observations may be less likely to maintain the levels of concentration required to maintain patient safety. There's no need for the service to take further action. nira rodeo standings 2021 10, Jun, 2022. country mart warsaw, mo weekly ad; Patients that have received a positive result can end their isolation before the 10 days if they have. One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. 25 February 2014. ACUTE-There are currently no Acute Male beds available. the service isn't performing as well as it should and we have told the service how it must improve. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Occupational health services and a trauma nurse supported staff physical and emotional health needs. We reviewed 22 out of 115 seclusion records from 1 April 2018 to 30 June 2018. Environments on wards for people with a learning disability or autism wards were not always maintained due to untimely responses to complete repairs and manage estates issues. 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. Hotel and Leisure. Good He founded Wisden Cricket Monthly and edited it from 1979 to 1996. 10 February 2015. A multidisciplinary team worked well together to provide the planned care. All other conditions outlined in the section 31 notice of decision from July 2021 remained applicable. Managers and medical staff told us that in recent months they had felt pressurised into accepting patients, who in their clinical opinion, were not suitable. The service provided safe care. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. 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 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. The service did not meet the model of care set out in Right Support, Right Care, Right Culture. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. The service does not have a registered manager in post but does have a nominated individual as required, and a controlled drugs accountable officer. the service isn't performing as well as it should and we have told the service how it must improve. Also, staff were not always able to take their breaks and support the activities provision. Staff had not always recorded patients vital signs (in line with the National Institute for Health and Care Excellence (NICE guidance) when using rapid tranquilisation. Staff reported incidents accurately and in line with the providers policy. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Patients described occasions when they were distressed and staff ignored them. Bayley Ward provides short periods of rapid assessment, intensive treatment and stabilisation for patients, before or during, a longer period of inpatient care. 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. Wards had a range of rooms for care and treatment and rooms for patients to meet visitors in private. Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. Staff did not always ensure that both paper and electronic medicine records were accurate, up to date and correctly identify how staff should give medicines to patients. A freedom of information request, revealed, the CQC, apparently, indicating, they were not prepared, to investigate the deaths at St Andrews, "CQC was aware of the service's own reviews . Care records confirmed that the room was used regularly and recently. (later Organist at the University of St Andrews, Scotland) 2009 Oliver Waterer (later Organist at St. David's . In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. There had been an increase in the group of patients with Huntingdons disease on Tallis ward which affected the clinical risks on the ward and this was raised as a concern, this was being addressed by staff receiving extra training in this area. The provider invested in a programme of support to promote staff well-being. Some staff and patients told us that they did not feel safe on the learning disability wards. 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. There was insufficient medical cover for overnight on call and emergencies. Staff ensured most patients needs were assessed and met within care plans. They were knowledgeable about the principles of PBS and were involved in observing behaviour and reporting to the multidisciplinary team to enable planning. People received kind and compassionate care. The provider had high vacancy rates in forensic, neuropsychiatry, older adults and rehabilitation services. Peoples risks were assessed regularly and managed safely. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. MHA administrators had a thorough scrutiny process. 1769, January 9 - married Catherine Charlton (Sister of Dr. John Charlton) in St . the service is performing well and meeting our expectations. This meant staff may not be clear what behaviour was expected in certain situation. Sunley ward was not clean, bed linen was stained and smelly, and dirty linen was stored with clean linen. 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. A physical healthcare team, based on site, were available during the week to offer support with patients physical healthcare needs. Patients described the new dietician as amazing. This was particularly high for registered nurses. 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. The provider recently introduced daily safety huddles involving the whole staff team. Staff did not always follow the providers policy and procedures on the use of enhanced observations when supporting patients assessed as being at higher risk of harm to themselves or others. Staff told us and plans showed that restraint was used as a last resort and staff tried to de-escalate and divert patients who were becoming distressed or agitated. Patients could also use their own phones to check emails. Policies for seclusion, long term segregation and enhanced support were confusing and the long term segregation policy did not meet the Mental Health Act code of practice in respect of review requirements. Insufficient improvements have been made such that there remains a rating of inadequate for any core service, key question or overall. We found culture had improved, and values of staff were better demonstrated between each other, their teams and caring for people. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. Staff had not always followed the providers policy on patient observations in two services. Staff had not ensured the physical security of Willow ward. Staff did not always ensure patients physical healthcare needs were met at the psychiatric intensive care, forensic and long stay rehabilitation wards. Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. We imposed conditions on the provider's registration that included the following requirements: Following this inspection, we wrote to the provider on 9 May 2022, to vary one condition to allow, from 10 May 2022, that St Andrews Healthcare Womens service may admit up to a maximum of 1 patient per week to each ward without seeking permission from the Commission. Staff in the forensic service did not always complete handovers in line with the providers policy and procedures. Supervisions occurred monthly by peers rather than line managers in some areas. The emphasis is on short-term intensive treatment with regular reviews of progress. Staff told us morale was increasing following a period of change over the last two years and told us their managers were supportive. we have taken enforcement action. 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 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. Published the service isn't performing as well as it should and we have told the service how it must improve. 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 at the forensic service used derogatory and inappropriate language to describe patients. We saw action plans arising from complaints and the resultant changes on the wards. We found that the CQC had not been sent notifications relating to incidents affecting the service or the people who use it within the learning disability service. People had their communication needs met and information was shared in a way that could be understood. Grafton and Hereward Wake wards did not have a seclusion room. 10 November 2021. Oak ward, a 10-bed medium secure service for women with learning disabilities and/or autistic spectrum conditions, Church ward, a 10-bed low secure service for women with learning disabilities and/or autistic spectrum conditions. The provider had plans to improve this, but these had not yet commenced. Two patients told us that they felt the service had aided their recovery more than any other and that staff that staff were generally kind, caring and took the least restrictive approach. One patient felt the unit was the safest place ever, and staff were always available when needed but were always busy. On Seacole ward, the furniture in the night lounge was torn and dirty. 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. Managers did not provide a safe environment for patients. Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. 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. In some services staff did not assess patients capacity to consent to treatment appropriately. 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. The unit had a shared electronic device which patients could use to make video calls and a shared phone. Managers did not ensure established staffing levels on all shifts. 258. A range of psychological therapies recommended by the national institute for health and care excellence was available for patients. We looked at the Mental Health Act paperwork for patients and found it to be accurate and complete in all sections. There were gaps in records where staff had not signed the entries. Some documents were saved on a shared drive rather than in the electronic system. Heygate ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning disabilities / autistic spectrum disorder. Staff did not manage risks to patients and themselves well. People were in hospital to receive active, goal-oriented treatment. The wards had enough nurses and doctors. The ward environments were safe and clean. Our rating of this service stayed the same. Care plans were comprehensive and holistic, and contained a full range of patients needs. Staff recorded when ligature cutters were used but did not record when they were checked daily in line with their policy. There's no need for the service to take further action. Two patients described the furniture as uncomfortable. Requires improvement bayley ward st andrews northampton. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. The patient was turned onto their side or back as soon as possible and the majority of prone restraints lasted less than three minutes. The provider had strengthened the implementation of positive behaviour support planning since the last inspection in June 2016. At both Thornton Ward and Spring Hill House the patients had expressed concerns about the heating not being suitable, for example bedrooms and communal rooms being either too hot or too cold. This equated to a fill rate of 89% against the provider target of 90%. She was born March 2, 1927 in Toronto, Ontario Canada, the daughter of William and Lena (Flowers) Page. Billing Road, Northampton, Northamptonshire, NN1 5DG (01604) 616000 Provided and run by: St Andrew's Healthcare We are carrying out a review of quality at St Andrew's Healthcare - Womens Service.
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