There were a number of locked doors, stairs and potentially an unpredictable patient group, which may impact how quickly the equipment arrived where it was needed. Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood each persons individual needs. The service did not have enough nursing and support staff to keep patients safe at all core services. We rated it as inadequate because: OConnell ward is a locked ward for male older adults. Patients had access, without supervision, to the main courtyard, however, there was a large opening in the ground of the courtyard that had been there for over 10 months without repair. 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. gotrax scooter not accelerating. Staff received training in safeguarding and made appropriate referrals. Three patients told us that the ward had several bank staff. 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. A multidisciplinary team worked well together to provide the planned care. We found the following areas the provider needs to improve: Published 10 June 2020. One patient was not involved in their care plan. Staff did not always follow National Institute for Health and Care Excellence guidance for the use of rapid tranquillisation on Sunley ward. We rated it as requires improvement because: In We noted ward teams had made improvements to reducing restrictive practice since our last inspection. At least one standard in this area was not being met when we inspected the service and ANMF; Mandalay; Martha Cove; Hobba; Flinders Landing; Apartments Our four male and female PICU wards are based centrally across Northampton and Essex offering 24/7 rapid assessment, intensive treatment and stabilisation for people with acute phases of mental illness, we aim to give you a decision on your referral within the hour. 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. the service is performing well and meeting our expectations. Staff could access emergency physical health care from the providers emergency response teams and the local general hospital to cover out of hours emergencies. [1] After the election, the composition of the council was: Liberal Democrat 34. Staffing was below the establishment number for five incidents reviewed. Arthur; Trick, Kerith Lloyd Kinsey (1989), St. Andrew's Hospital Northampton: the first 150 years, 1838-1988, . 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 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. The heating was not working properly. 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. Our rating of this service stayed the same. Patients should be detained under the MHA 1983 (all section papers are checked before accepting admission) and patients are not admitted under section 136. Here are seven reasons why: 1. Pipe Organ Database | Add Organ Revision It often occurred that staff were trained up to a level to work with patients, then moved to work on other wards. BayleyWard holds the following certifications: ISO 9001:2015 / ISO 45001:2018 / ISO 14001:2015. . In older adults services the provider did not always reduce the risk from blind spots. Senior staff monitored incidents and discussed outcomes and learning from them in team meetings. Emma Bayley Mary Ann Baylis 1852 Redditch, Worcestershire, England George Bayliss 1863 Sheffield, Yorkshire, England . However, a significant number of shifts remained unfilled. Mental capacity assessments were not decision specific. The remaining staff (2%) were out of date with training. Wards had family friendly visiting rooms along with policies and procedures for children visiting. Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Staff recorded when ligature cutters were used but did not record when they were checked daily in line with their policy. Staffing numbers did not meet establishment levels. There was a range of psychological interventions available for patients which patients were encouraged to attend. 7: Sir William Wake 9th Bt 17681846 page . Staff and patients reported a smell of sewerage in the ensuite bathrooms of some rooms. Long stay or rehabilitation wards: Patients told us they felt safe. Staff ensured most patients needs were assessed and met within care plans. Harper specialist ward for male and female patients with Huntingdons disease. We saw evidence in progress notes that staff sought support from the providers physical health team when required. Managers agreed that at times it was difficult to ensure the safety of the ward, whilst meeting the needs of the patients. the service is performing badly and we've taken enforcement action against the provider of the service. We rated it as requires improvement because: Our rating of this service stayed the same. 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 did not always follow the providers policy and procedures on all wards on the use of enhanced support when observing patients assessed as being at higher risk harm to themselves or others. People received care, support and treatment that met their needs and aspirations. 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. St Andrew's Healthcare - Womens Service Quality Report Billing Road Northampton NN1 5DG Tel: 01604 616000 . The provider invested in a programme of support to promote staff well-being. This included reviewing blanket restrictions, revising professional boundaries, introducing new meeting structures and ward rules. There had been improvements since the last inspection. Staff at the longstay rehabilitation service did not always uphold patients dignity in relation to medication and care. This posed a risk to staff and patients if staff were following two different approaches. 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. Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. Staff did not always respect patients privacy and dignity on the forensic and long stay rehabilitation wards. We spoke with a senior member of staff who described patients with an eating disorder as not a patient group who inspires excitement. Concerns identified at previous inspections had not always been addressed. All staff we spoke with in learning disabilities services followed positive behaviour planning (PBS) and least restrictive practices. Managers ensured that staff had relevant training, regular supervision and appraisal. One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. Knights Sports, Sporting Memorabilia, Wisden Almanack Auctions To make a PICU enquiry or discuss a referral please contact our wards directly 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. Managers said they felt supported and staff said they felt valued. PBS care plans were available in paper form for staff to have easy access and in easy read for patients when needed, as well as on the electronic system. All patient bedrooms had ensuite facilities. All other conditions outlined in the section 31 notice of decision from July 2021 remained applicable. St Andrew's Healthcare - Womens Service - CQC by | Jun 10, 2022 | steve kerr salary 2021 | university of georgia golf coach | Jun 10, 2022 | steve kerr salary 2021 | university of georgia golf coach Armed police called to Northampton hospital children's ward after 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. In total we spoke with ten patients. Staff had not ensured the physical security of Willow ward. Managers ensured that these staff received training, supervision and appraisal. Psychiatric Intensive Care Unit (PICU) for male and females St Andrew the service is performing badly and we've taken enforcement action against the provider of the service. Staff supported them to achieve their goals. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. Goals for recovery, including an estimated date of discharge from the PICU, will be set as part of the admission process. We're a specialist charity that invests in innovative, patient-centric, holistic care. Some people were not happy about being on the ward because they were detained their under the Mental Health Act 1983. We also found that risk assessments and Care plans around this restraint were not always in place. Irene was also a member of the Sweetbriar Garden Club and British Wife's. The provider had recently changed the local leadership of the ward. There was a chaplaincy service and access to spiritual leaders for other faiths. Some patients told us they were concerned that sometimes their planned activities, such as outings in the community had been cancelled due to low staffing levels at Spring Hill House. Staff did not always demonstrate the values of the organisation when supporting patients. 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. This meant that staff did not always evaluate the quality of support provided to people and embed learning into practice. Regulation 18 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Staffing. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. We rated St Andrews Healthcare Womens service as inadequate because: Published We observed staff searching patients in communal areas on two wards. 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. Prior to Strat City's founding and the expansion of FAS, Stadium-of-Northampton was the largest venue in the country, seating 25,000. . Four people told us that they liked the food but that the options could be improved. Family and friends telephone line: 01604 614570. 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. At Spring Hill House, we saw that refurbishments were taking place to the shower and bathing facilities. This was because of the air exchange system sending columns of cold air directly downwards when the ward gets above 28 degrees. Staff had completed physical health assessments for patients on admission accessed specialist healthcare providers when needed. 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. 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. Six out of nine patients said they had been involved in their care planning. Four patients told us that there was a lack of health food options and that the quality of the food was variable. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing . We reviewed 22 out of 115 seclusion records from 1 April 2018 to 30 June 2018. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff. Staff had not completed the required physical health checks following both administrations. 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. There's no need for the service to take further action. One patient told us that the regular bank staff were caring and understood their needs, but two patients told us that bank staff were not responsive to their needs. Patients told us staff worked hard and were kind to them. We found staff did not always safely manage medicines and act on audit results on three services we inspected. We believe there's nowhere better to start your career than St Andrew's Healthcare. Consultants did not always accurately complete medication consent paperwork (T2 and T3 forms). Regulation 13 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safeguarding service users from abuse and improper treatment. We reviewed one patients records who had been administered rapid tranquillisation medication twice in one day. One patient told us they really enjoyed being involved in the community meetings and looked forward to them. Click hereto share your feedback. Staff protected and respected peoples privacy and dignity. NFHS is committed to protecting its members' privacy. We heard on rare occasions the transport was unavailable leaving both the staff and patient at risk. bayley ward st andrews northampton - chamberlainfunding.com