St Andrews Healthcare Womens location is registered to provide the following regulated activities: This location has been inspected ten times. Peoples risks were assessed regularly and managed safely. 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. Peoples quality of life was enhanced by the services culture of improvement and inclusivity. 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. If you have used our PICU services,please let us know your views, opinions, thoughts or ideas to help us continuously improve. There was a dashboard for monitoring ward performance, quality and safety against agreed targets. Managers did not provide a safe environment for patients. Some people were not happy about being on the ward because they were detained their under the Mental Health Act 1983. Emma Bayley Mary Ann Baylis 1852 Redditch, Worcestershire, England George Bayliss 1863 Sheffield, Yorkshire, England . Peoples care and support was provided in an environment that was otherwise safe, clean, well equipped, well-furnished and well-maintained which met people's physical needs. Learning disability patients told us that the restrictions around the risk safety system made them angry. St Andrew's Healthcare. Staffing levels at night were particularly low. examples of figurative language in lamb to the slaughter fashioned biblical definition gonif yiddish definition border patrol hiring process forum 2020 tennessee tech . Staff did not provide a range of care and treatment options suitable for this patient group. We believe there's nowhere better to start your career than St Andrew's Healthcare. There was no evidence that the provider undertook regular and effective audits of these issues. We saw action plans arising from complaints and the resultant changes on the wards. bayley ward st andrews northampton. 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. 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 received the requested assurance. One third of the council was up for election and the Liberal Democrats stayed in overall control of the council. In adolescent services, one seclusion room had a faulty two-way intercom system. Your information helps us decide when, where and what to inspect. Here are seven reasons why: 1. Staff had quick access to ligature cutters and pocket masks (for use in mouth to mouth resuscitation) in different areas of the wards. We reviewed minutes from a de brief session, which confirmed this. A patient is assessed as posing a significant risk of suicide and the patient is unresponsive to preventative measures available, Absconding patients who are detained under the MHA 1983, for whom the consequences of persistent absconding are serious enough to warrant treatment in the PICU, Unpredictably patients, potentially posinga significant risk to self or others and requiring further assessment. Two patients described the furniture as uncomfortable. Patients told us there were limited food options, especially if vegetarian. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. The service does not have a registered manager in post but does have a nominated individual as required, and a controlled drugs accountable officer. Staff did not always follow the Mental Health Act Code of Practice in relation to seclusion, long term segregation and blanket restrictions. Company Information; FAQ; Stone Materials. 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. The shower areas upstairs did not provide comfort or promote dignity and privacy. 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 did not allow patients to have snacks outside these times. We found that each patient had a daily schedule of therapeutic activities. 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. Managers sought to embed a culture promoting transparency, respect and inclusivity. 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. Since 1 February 2019, the Bayley PICU have been trialling body ward cameras on nurses. Staff did not always treat patients with kindness, dignity and respect. It often occurred that staff were trained up to a level to work with patients, then moved to work on other wards. On Seacole Ward, there were errors in the recording of medication administration, Sitwell ward was not consistently documenting patients review of restraint. Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. Staff administered backslaps and dislodged the food. 220: . Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition. Staff restricted access to patients wishing to use their bedrooms, and this was not individually risk assessed. Goals for recovery, including an estimated date of discharge from the PICU, will be set as part of the admission process. we have taken enforcement action. Where necessary, another inspection will be conducted within six months, and if there is not enough improvement we will move to closethe service by adopting our proposal to vary the providers registration to remove this location or cancel the providers registration. Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. Staff told us that they dreaded coming into work and felt professionally vulnerable. . The provider had not ensured that ward areas were always well maintained. Supervisions occurred monthly by peers rather than line managers in some areas. 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. We observed a senior member of staff dismiss a patient who asked to speak with them about safeguarding concerns. Supervision was highlighted as an issue in learning disabilities, older adults and rehabilitation services. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas, although the provider reported these immediately. Safe was rated as inadequate, effective rated requires improvement, caring rated inadequate, responsive rated requires improvement and well led rated as inadequate. Patients were given leave to attend church for private prayers. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. 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. Multidisciplinary teams worked well together to provide the planned care. We found that the space on the older adults wards was a challenge to make feel homely, however we saw they had utilised the ends of corridors to create small areas of interest. We rated it as requires improvement because: Our rating of this service stayed the same. by | Jun 10, 2022 | how to charge a kangvape without a charger | when do live oaks drop their leaves in florida | Jun 10, 2022 | how to charge a kangvape without a charger | when do live oaks drop their leaves in florida Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. Wards had seclusion rooms, low stimulus rooms and extra care suites for patient use. On Hereward Wake, this meant that a patient requiring seclusion was being transported to a different location by secure transport. As a result, discharge was rarely delayed for other than a clinical reason. Managers on the learning disability wards and forensic wards did not make sure staff received specialist training for their role. Staff assessed and managed risk well. the service is performing exceptionally well. We reviewed 22 out of 115 seclusion records from 1 April 2018 to 30 June 2018. Billing Road, Northampton, Northamptonshire, NN1 5DG Staffing numbers did not meet establishment levels. Managers had not followed recommendations from an internal investigation into concerns raised. Three patients told us that their planned activities had been cancelled. The provider had removed 26 blanket restrictions following our last inspection. 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. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing . Staff supported one patient sensitively on the anniversary of a traumatic life event. Staff planned and managed discharge well and liaised well with services that would provide aftercare. The leadership, governance and culture did not always support the delivery of high quality, person centred-care. We found gaps in hourly observation records on 193 out of a possible 1,008 occasions. Any other browser may experience partial or no support. Staff at these services were not reporting all incidents and not recording all incidents appropriately. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. Nick oversees all areas of architectural design and delivery for the studio with broad experience in residential, commercial, cultural and leisure sectors. It has defined its key patient outcomes to be rapid stabilisation, crisis resolution, risk-reduction, prevention of relapse and promotion of recovery. 2022 lacrossemits; is randy owens mother still alive cz scorpion evo folding stock fde; cranberry juice for hangoverscant colloid thyroid nodule; 2006 playcraft powertoon; apartments near rivermark plaza; bayley ward st andrews northampton gotrax scooter not accelerating. People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood each persons individual needs. 16 September 2016. Staff told us patients snack times on the ward were 11am and 4pm. Medical staff told us clinical decisions were made at a senior level without any evidence based rationale or consultation at a clinical level. You can also Whatsapp /Call him at 9311740424 Patients should be detained under the MHA 1983 (all section papers are checked before accepting admission) and patients are not admitted under section 136. Staff engaged in clinical audit to evaluate the quality of care they provided. This meant people received compassionate and empowering care that was tailored to their needs. Good We found issues with inappropriate storage of medicines, staff not labelling opened medications, patient allergy information and a significant medication error. On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. Leaders did not always understand the issues, priorities and challenges the forensic and long stay rehabilitation services faced. There had been improvements since the last inspection. There were no formally reported cases of bullying or harassment when we visited the service. We found that routine restrictive practices were in place to manage risk, behaviours related to daily care and treatments were measured using generic levels. Patients could personalise their bedrooms and had lockable spaces to secure possessions. Sitwell ward was not following St Andrews Seclusion policy with regard seclusion reviews with patients. Staff had not always recorded in the patients clinical records, the rationale for seclusion, or the time that a period of seclusion had ended. Published 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. We found that in the CAMHS service prone restraint was still being used when retraining young people. 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 are some services which we cant rate, while some might be under appeal from the provider. Menu. Staff cared for patients who presented with behaviour that challenged. 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. The ward environments were clean. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. Walton is for male patients with Huntingdons disease. Managers and staff worked extra shifts to support the wards, which showed resilience and commitment toward delivering patient care. Care focused on peoples quality of life and followed best practice. One patient felt the unit was the safest place ever, and staff were always available when needed but were always busy. 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. The PICU hospital director offered regular open clinical between 7pm and 9pm which were open for staff to attend. 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. This service was placed in special measures on 10 June 2020. 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. People were in hospital to receive active, goal-oriented treatment. Senior staff monitored incidents and discussed outcomes in team meetings. Managers had implemented additional safety measures following serious incidents, these included updating the ligature audit and assessment following a ligature incident, ensuring staff with specific training were available to provide specialist support to patients and a review of patients access to contraband items. This meant staff could not find the most up to date plan of how to care for people using the service. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. There were blanket restrictions on Sunley ward. They minimised the use of restrictive practices and followed good practice with respect to safeguarding. stoc 2022 accepted papers; the forum inglewood dress code; to what extent is an individual shaped by society; astragalus and kidney disease; lake wildwood california rules and regulations; bayley ward st andrews northampton. Staff developed recovery-oriented care plans informed by a comprehensive assessment. On Seacole ward, the furniture in the night lounge was torn and dirty. 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. People had their communication needs met and information was shared in a way that could be understood. We don't rate every type of service. There was no recorded evidence of staff and patients having an immediate debrief following an incident. Staff took part in a range of clinical audits, benchmarking and quality improvement initiatives. Billing Road, Northampton, Northamptonshire, NN1 5DG. 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. We found that the provider had taken account of our previous inspection findings and had introduced additional quality monitoring measures. There were meeting three times in a 24-hour period to review staffing across all wards. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. Not all ward areas at the long stay rehabilitation service and learning disability and autism service were safe, clean and well maintained. We found in the learning disability service some care plans were generic and not person centred, in particular the risk safety system. Leaders at the long stay rehabilitation services did not have the skills, knowledge and experience to perform their roles. NN1 5DG. John Clare ward is a low secure inpatient ward that can accommodate up to nine children and adolescent females with complex mental health needs. They understood peoples cultural needs and provided culturally appropriate care. A patient was in a distressed state for over an hour due to lack of specialist equipment. No rating/under appeal/rating suspended 30 October 2018, Published The providers governance processes had not addressed staff failures to follow the providers procedures on enhanced observations, handovers and safety checks. People had a choice about their living environment and were able to personalise their rooms. The charity that runs St Andrew's hospital in Northampton told the CQC it started looking into whether the deaths on its 20-bed Grafton ward were linked shortly after a third patient died in. Feedback from the outcome of complaints was not shared with the complainant on all occasions. This testing will be done from day 5. Psychiatric intensive care service has remained the same as requires improvement. Therefore, we are taking action in linewith our enforcement procedures to begin the process of preventing the provider from operating the service. Although this was done to keep them and other people safe it meant that there were restrictions on what they were able to do and where they were able to go. Most wards were safe, visibly clean, homely and well furnished. Please discuss this with the ward to arrange. All patients we spoke to stated that they had been involved in the development of both their care and behavioural support plans. In older adults services the provider did not always reduce the risk from blind spots. Managers ensured that staff had relevant training, regular supervision and appraisal. 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. Patients admitted to a PICU will have behavioural challenges which seriously compromise the physical or psychological wellbeing of themselves or others, and cannot be safely assessed or treated in an open acute inpatient facility (usually a general adult inpatient mental health ward). 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. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. Chinese Granite; Imported Granite; Chinese Marble; Imported Marble; China Slate & Sandstone; Quartz stone 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. Professor Edward Baker 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 . 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 that 1,698 shifts out of 15,788 were unfilled for the period 1 February 2018 to 30 June 2018. 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. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. They told us this affected the quality of the service they received and restricted their engagement in planned therapeutic activities. 2. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. Staff had not met all patients physical health needs. You'll be coming to a world-class facility with its own teaching hospital and academic centre. Any other browser may experience partial or no support. The unit had a shared electronic device which patients could use to make video calls and a shared phone. In forensic services, the receptionist controlled access to three buildings from one reception area and used CCTV monitors to control access. 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 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. Staff did not always share clear information about patients and any changes in their care. Staff told us that rapid tranquillisation medication was administered most days. 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.
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