When reception staff were away from their desk, access to the building was delayed for patients. The location was rated as inadequate overall and placed into special measures. 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. However, one patient told us that staff did not always consider the impact on patients who witnessed the use of restraint. National Brain Injury Centre, St Andrew's Healthcare Regulation 17 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Good governance. However, one carer told us that there had been problems with communication, adding that no one had sought the families opinion. There were times when patients were not well supported and cared for. 13: . The provider told us they shared learning from incidents via alerts sent by email. National Institute for Health and Care Excellence (NICE)).Examples included National Institute for Health and Care Excellence (NICE) guidance on personality disorder, assessment and treatment, Antisocial personality disorder: prevention and management and self-harm: assessment, management and preventing recurrence. The Pipe Organ Database is the definitive compilation of information about pipe organs in North America. Peoples care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. Telephone: 01604 614584. cassandra jones artist; taiwanese urban legends. Staff had not ensured the physical security of Willow ward. 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. However, we found the following areas of good practice: Published There was a shower curtain on some, but not all showers. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Managers did not provide a safe environment for patients. The largest UK medium secure service for deaf men aged between 18 and 65 years old. Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published 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. Community meetings were held weekly services where patients could raise issues related to the ward, minutes were available for us to view. Staff Nurse - Deaf Service Job in Northampton, ENG at St Andrew's 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. Staff provided a range of activities for patients and activities were available seven days a week. Staff ensured most patients needs were assessed and met within care plans. there are some services which we cant rate, while some might be under appeal from the provider. Harper specialist ward for male and female patients with Huntingdons disease. Safety was not a sufficient priority across the service. tile.loc.gov the service isn't performing as well as it should and we have told the service how it must improve. Following our inspection, we served an urgent Notice of Decision because of the immediate concerns we had about the safety of patients. Inspection Report published 25 February 2014 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Staff did not ensure that patients had a care plan in place for the use of rapid tranquilisation in line with policies and procedures. However, a significant number of shifts remained unfilled. Patients were at risk of continuing harm. 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. One seclusion room did not have a shower and whilst the provider had made progress in the processes to plan, fund and source a shower in the seclusion room, it remained without a shower. the service is performing badly and we've taken enforcement action against the provider of the service. St Andrew's Healthcare - Womens Service - CQC There were recognised difficulties in the learning disability services in ensuring that the wards had the correct staff skill mix for the patients needs. Patients should be detained under the MHA 1983 (all section papers are checked before accepting admission) and patients are not admitted under section 136. On Seacole ward there were issues with controlling temperatures on the ward. Staff communicated with people in ways that met their needs. We looked at the Mental Health Act paperwork for patients and found it to be accurate and complete in all sections. 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. Adolescent service St Andrews Healthcare Northampton Services we looked at: Wards for people with learning disability or autism Adolesc ent ser vic e St Andr ws He althc ar . In particular high numbers of registered agency nurses had been booked for night duty, many of whom were male, and not known to the female patients. St Andrews Jobs in Northampton - 2022 | Indeed.com Staff did not always respect patients privacy and dignity on the forensic and long stay rehabilitation wards. Managers ensured that these staff received training, supervision and appraisal. This posed a risk to staff and patients if staff were following two different approaches. This was because of the air exchange system sending columns of cold air directly downwards when the ward gets above 28 degrees. There were robust systems in place for reporting and investigating incidents and complaints. Berkeley Lodge, 37 and 38 Berkeley Close and 19 The Avenue are locked units. Admission will be based on an individual needs assessment and in some cases patients may be admitted directly to a PICU. As a result, discharge was rarely delayed for other than a clinical reason. We found gaps in hourly observation records on 193 out of a possible 1,008 occasions. Staff had not escalated these issues to estates management, leading to an unpleasant environment for patients. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. 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. People received care, support and treatment that met their needs and aspirations. (01604) 616000, Provided and run by: 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. Walton is for male patients with Huntingdons disease. Staffing was below the establishment number for five incidents reviewed. St Andrew's Healthcare - Womens Service, Northampton. Staff had not always followed the providers policy on patient observations in two services. Northampton, 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. Any other browser may experience partial or no support. Andrew ARROWSWORD - 40 - ST Ben LORENNION - 28 - ST Iain CYN . These groups are facilitated by Occupational Therapists, Psychology, Nursing, with sessions also by the Physical Health Nurse, Art Therapist and Advocacy. 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. Regulation 18 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Staffing. And are detained under the Mental Health Act 1983. there are some services which we cant rate, while some might be under appeal from the provider. 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 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. This meant senior staff could move staff to where need indicated it was higher on some wards. Treatment of disease, disorder or injury. They minimised the use of restrictive practices and followed good practice with respect to safeguarding. Managers did not ensure staff had the right skills, knowledge and experience to meet the needs of patients with a diagnosed eating disorder. the service is performing badly and we've taken enforcement action against the provider of the service. The clinic rooms were fully equipped and resuscitation equipment was checked regularly and recorded however not all wards had equipment. We found in the learning disability service some care plans were generic and not person centred, in particular the risk safety system. Click hereto share your feedback. Nick Readett-Bayley, graduate of the Bartlett School of Architecture, established BayleyWard in early 2013 having arrived in Australia in 2010. Peoples quality of life was enhanced by the services culture of improvement and inclusivity. 20 September 2013. Staff were passionate about their job and knew patients well. One of the long stay or rehabilitation wards, which supported patients with secondary needs associated with disordered eating, did not have access to a specialist dietician. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. We saw patients views were included in care plans and this included relatives where appropriate. Staff did not learn from cleanliness audits. 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. All our PICU wards are members of NAPICU, and adhere to the NAPICU minimum standards and their admissions criteria. There was insufficient medical cover for overnight on call and emergencies. We found that the provider had taken account of our previous inspection findings and had introduced additional quality monitoring measures. St Andrew's Healthcare. Getting To The Hospital Collapse all By Road View By Bus View By Train View Staff throughout the organisation were aware of how to report incidents and we saw good examples of staff learning from the investigation of adverse events. Last year it said improvements . People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas, although the provider reported these immediately. 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. Care focused on peoples quality of life and followed best practice. Patients reported that they did not always have access to healthy snacks (e.g. Nurse managers reported they received prompts from the providers training department when staffs mandatory training or refreshers were due. 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. Patients held their own mobile phones wherever possible and had private access to a landline telephone that had direct lines to advocacy and other services. Our PICUs offer a short period of rapid assessment, intensive treatment and stabilisation for people with acute phases of mental illness who are in need of emergency psychiatric care. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. Medical staff told us clinical decisions were made at a senior level without any evidence based rationale or consultation at a clinical level. People received good quality care, support and treatment because staff were trained to support their needs. Patients regularly had their escorted leave, therapies or activities cancelled because of staff shortages. In response to a compliance action issued following our last inspection in November 2012, the provider demonstrated they were actively recruiting staff. Long stay or rehabilitation wards: Patients told us they felt safe. The providers governance processes had not addressed staff failures to follow the providers procedures. 10 June 2020. Type of organisation Voluntary Sector Service Descripton of organisation In patient Out patient Residential miles (straight line) miles (approximate road distance) Entry last updated Patients alleged that staff on Sunley ward used inappropriate restraint techniques. 3. Managers ensured that these staff received training, supervision and appraisal. We also looked at seclusion facilities and seclusion records, as concerns had been identified at a Care Quality Commission Mental Health Act seclusion monitoring visit on 22 November 2013. Staff recorded when ligature cutters were used but did not record when they were checked daily in line with their policy. Staff received training in safeguarding and made appropriate referrals. This included reviewing blanket restrictions, revising professional boundaries, introducing new meeting structures and ward rules. We observed a senior member of staff dismiss a patient who asked to speak with them about safeguarding concerns. There were weekly manager and matron meetings to review issues, monthly quality and safety meetings, which included the managers, clinicians and compliance manager. 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. Staff stated that that the training offered by St Andrews was excellent. Compton is a locked ward for male and female older adult patients. How many deaths in St Andrews, Northampton? Who is accountable? Menu. the service is performing well and meeting our expectations. However, some areas of the hospital, in particular the bathrooms and one seclusion room, required further work to meet these standards. St. Andrews Hospital had its own physical healthcare team who saw patients on the wards. Staff used positive behavioural support plans with patients effectively. In the learning disability services significant blanket restrictions were seen for example cigarette breaks were taken hourly, drinks were at set times, access to bedrooms were restricted and no access to kitchens or sensory rooms unless accompanied by an occupational therapist. 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. Patients could also use their own phones to check emails. Bayley Ward, St Andrews Hospital, Northampton, NN51 5DG NHS Gloucestershire CCG 1 Brunel Ward, Priory Hospital, Heath House Lane, Bristol, BS16 1 EQ NHS Herefordshire CCG 1 Cygnet Coventry CV2 4FN NHS Gloucestershire CCG 1 ELGAR UNIT, HOLT WARD, NEWTOWN HOSPITAL WR5 1JG NHS Gloucestershire CCG 1 Frinton Ward, St Andrews Hospital, Essex SS12 9JP . Two carers told us there were not enough staff on the ward and one carer raised concerns regarding the number of male agency staff on duty at night. Staff developed a comprehensive care and personal behavioural plan for each patient that met their mental and physical health needs. 10Off Bov2203ap Zett bayley ward st andrews northampton - Big Bang Blog St. Andrew's Hospital, Northampton: The First 150 Years (1838-1988) We saw that some staff had different supervisors each month. It has defined its key patient outcomes to be rapid stabilisation, crisis resolution, risk-reduction, prevention of relapse and promotion of recovery. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. NFHS is committed to protecting its members' privacy. there are some services which we cant rate, while some might be under appeal from the provider. 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. 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. Other patients on the ward could hear the patient in the toilet. 16 September 2016. We also found that risk assessments and Care plans around this restraint were not always in place. Managers were visible on the wards and staff felt supported by operational managers and clinical nurse leads. The overall rating for this service has improved to requires improvement. bayley ward st andrews northampton. We found that the risk based safety system is being used to manage non risk behaviours such as non-engagement. Leaders did not always understand the issues, priorities and challenges the forensic and long stay rehabilitation services faced. On Church ward, staff behaviour did not always display the values of the organisation and people told us that attitudes of staff at night were not always kind and respectful. Appraisal of performance was undertaken annually. The 1999 Winchester City Council election took place on 6 May 1999 to elect members of Winchester District Council in Hampshire, England. 258. Your information helps us decide when, where and what to inspect. As a result of the ratings, this location remains in special measures. About Us. Acute and Psychiatric Intensive Care Units. MHA administrators had a thorough scrutiny process. 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. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs. They were knowledgeable about the principles of PBS and were involved in observing behaviour and reporting to the multidisciplinary team to enable planning.