We found issues with inappropriate storage of medicines, staff not labelling opened medications, patient allergy information and a significant medication error. Harper specialist ward for male and female patients with Huntingdons disease. Staff did not ensure that patients had a care plan in place for the use of rapid tranquilisation in line with policies and procedures. Each ward had a book dedicated to learning from incidents and complaints generated across the hospital site. 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 People were supported to be independent and their human rights were upheld. Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. The provider used bureau (St Andrews bank staff) and agency staff to fill vacant shifts. This is an organisation which is involved in promoting and developing work within the PICU settings. We're a specialist charity that invests in innovative, patient-centric, holistic care. One patient was not involved in their care plan. Staff arrived late to handovers. Bayley, Hugh Beard, Nigel Begg, Miss Anne 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 Brennan, Kevin Brinton, Mrs Helen The provider was not compliant with the Mental Health Act Code of Practice. All our PICU wards are members of NAPICU, and adhere to the NAPICU minimum standards and their admissions criteria. there are some services which we cant rate, while some might be under appeal from the provider. . 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. However, a significant number of shifts remained unfilled. Staff spoken with were burnt out and distressed. Managers ensured that staff had relevant training, regular supervision and appraisal. Browser Support This meant senior staff could move staff to where need indicated it was higher on some wards. ANMF; Mandalay; Martha Cove; Hobba; Flinders Landing; Apartments There's no need for the service to take further action. In total we spoke with ten patients. People had a choice about their living environment and were able to personalise their rooms. Staff promoted equality and diversity in their support for people. 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. we have taken enforcement action. 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. Staff told us patients snack times on the ward were 11am and 4pm. People with physical health issues such as epilepsy, did not have appropriate care plans to manage bathing. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. Staff had not completed seclusion and long-term segregation care plans for all patients. NN1 5DG. Staff supported patients to engage with the wider community. Menu. The provider recently introduced daily safety huddles involving the whole staff team. Multidisciplinary teams worked effectively across all wards. There did not appear to be an opportunity for patients to appeal against decisions made about their risk levels, or clear individual behaviour markers and goals for changes in levels. 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. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Staff did not always record details of restraint techniques used. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. 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 had access to dashboards for their teams, which gave details of staff compliance with mandatory training. bayley ward st andrews northamptonlaconia daily sun obituaries. However, the service did not always have enough staff which meant that peoples programme of support was not always delivered in time. Staff developed recovery-oriented care plans informed by a comprehensive assessment. Staff on the forensic wards did not always follow infection control procedures. 20 September 2013. We accept NHS or privately funded referrals across our assessment and therapy services. It is envisaged that all PICU patients would be detained under the Mental Health Act (MHA) 1983, as admission and detention in a locked PICU environment constitutes a fundamental loss of freedom for an individual. Qualified Psychologist - Learning Disability & ASD Not all ward areas at the long stay rehabilitation service and learning disability and autism service were safe, clean and well maintained. 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. Patients had good access to physical healthcare when needed. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas, although the provider reported these immediately. Managers did not always support staff with appraisals, supervision and opportunities to update and further develop their skills on the forensic and long stay rehabilitation wards. The provider as part of a national pilot, had developed a new clinical model (co-produced with staff and patients), which was a blended approach including low and medium security. Staff did not always provide patients with information about their rights under the Mental Health Act. Please discuss this with the ward to arrange. Sitwell ward was not following St Andrews Seclusion policy with regard seclusion reviews with patients. We saw rotas which showed the wards were regularly using bank or agency staff, Mackaness had three members or regular staff on duty and six agency staff on the day of our visit. the service is performing well and meeting our expectations. 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 knew and understood people well and were responsive. 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 kept some information in paper format. Each patient will be individually assessed by our dedicated team. Staff received annual appraisals and most staff received regular supervision. How many of them have died in St Andrews? A range of psychological therapies recommended by the national institute for health and care excellence was available for patients. People received good quality care, support and treatment because staff were trained to support their needs. Senior leaders demonstrated learning by acknowledging that a lesson learnt was to ensure new services have the correct capabilities in place prior to opening and reported that they were making changes following concerns being raised. Provided and run by: St Andrew's Healthcare. Managers sought to embed a culture promoting transparency, respect and inclusivity. 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. The BDMs are the first point of contact for all research proposals to external funding bodies in the UK, EU and Overseas and for research projects with industry. Fairbairn Ward management informed us the electronic system did not allow them to specify staff trained in British Sign Language. there are some services which we cant rate, while some might be under appeal from the provider. To make a PICU enquiry or discuss a referral please contact our wards directly Managers ensured that staff had received training in safeguarding and made appropriate referrals. Action Plan 2011 for - PDF - (opens in new window), Annual Statement 2009 for - PDF - (opens in new window), Annual Statement 2010 for - PDF - (opens in new window), Regulatory Assessment Report 2009 for - PDF - (opens in new window), Regulatory Assessment Report 2010 for - PDF - (opens in new window), In The new ward manager and operational lead had recently started in their posts. We would like to show you a description here but the site won't allow us. Staff did not follow correct infection control procedures in relation to coronavirus. 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. The provider as part of a national pilot, had developed a new clinical model (co-produced with staff and patients), which was a blended approach including low and medium security. Staff working in the neuropsychiatry services had an understanding of current NICE guidelines. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. 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. We found gaps in hourly observation records on 193 out of a possible 1,008 occasions. Learning disability patients told us that the restrictions around the risk safety system made them angry. Staff had not completed the Elgar ward ligature risk assessment. Staff were unclear about the definitions and terminology relating to de-escalation, restraint, seclusion, segregation and extra care. Patients described the new dietician as amazing. The service provided care, support and treatment from trained staff and specialists able to meet peoples needs. No rating/under appeal/rating suspended 30 October 2018, Published We told the provider they must not admit any new patients until further notice; that wards must be staffed with the required numbers of suitably skilled staff to meet patients needs and to undertake patients observations as prescribed; that staff undertaking patient observations must do so in line with the providers engagement and observation policy and protocol and the provider must ensure there is clear documentation to inform staff of the current observation level of all patients. We told the provider that they must provide CQC with an update relating to these issues on a fortnightly basis. St Andrews Healthcare Womens location is registered to provide the following regulated activities: This location has been inspected ten times. Senior leaders were visible across the location and were approachable for patients and staff. Staff cared for patients who presented with behaviour that challenged. Staff completed annual physical health assessments for all patients and completed standard physical health checks. 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. 1769, January 9 - married Catherine Charlton (Sister of Dr. John Charlton) in St . Staff did not always treat patients with kindness, dignity and respect. There was a shower curtain on some, but not all showers. Insufficient improvements have been made such that there remains a rating of inadequate for any core service, key question or overall. Download full inspection report 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. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. We don't rate every type of service. There were blanket restrictions on Sunley ward. 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. Staff told us that the chief executive officer visited regularly. Also, staff were not always able to take their breaks and support the activities provision. Staffing numbers did not meet establishment levels. She was born March 2, 1927 in Toronto, Ontario Canada, the daughter of William and Lena (Flowers) Page. Fenwick ward is a low secure inpatient ward that can accommodate up to 10 children and adolescents females with neuro-disability / autistic spectrum disorder. Treatment of disease, disorder or injury. Supervisions occurred monthly by peers rather than line managers in some areas. Some rooms had sensory equipment that was available for people to use. Staff did not always follow the Mental Health Act Code of Practice in relation to seclusion, long term segregation and blanket restrictions. We saw that some staff had different supervisors each month. We reviewed 26 incidents that occurred between 1 November 2019 and 3 February 2020. Governance processes did not always ensure that ward procedures ran smoothly. 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 some expired medicines in the clinic rooms on the wards, and that staff did not act on previous audits where this was found. 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. 10 February 2015. The provider had procedures for children visiting. Foster is a locked ward for male older adults. We reviewed minutes from a de brief session, which confirmed this. bayley ward st andrews northampton. We will publish a report when our review is complete. 1648 Ward, who rec 500a on a branch of Pagan Bay . 24 September 2020. Patients had access to independent advocacy services. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. St Andrew's Healthcare. 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. This meant senior staff could move staff to where need indicated it was higher on some wards. Browser Support Patients alleged that staff on Sunley ward used inappropriate restraint techniques. Bayley Ward uses medication led model and follows the nursing approach of Safewards which incorporates: Depending on their mental state, patients will be engaged on a suitable OT programme to facilitate recovery. Patients could access garden areas and open spaces. The emphasis is on short-term intensive treatment with regular reviews of progress. Staff took part in a range of clinical audits, benchmarking and quality improvement initiatives. 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 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. He founded Wisden Cricket Monthly and edited it from 1979 to 1996. 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 We told the provider they must provide immediate assurance in relation to staffing levels, staff completing enhanced observations of patients in line with National Institute of Health and Care Excellence guidance and staff reporting incidents and appropriate action is being taken. Admission will be based on an individual needs assessment and in some cases patients may be admitted directly to a PICU. . Assessment or medical treatment for persons detained under the Mental Health Act 1983. The service was on a hospital site with other mental health services and was designed to provide a service to 24 people over three wards. Wards had family friendly visiting rooms along with policies and procedures for children visiting. The Pipe Organ Database is the definitive compilation of information about pipe organs in North America. These older reports are from our old approaches to inspection, including those from before CQC was created. Not all groups of staff felt engaged with the developments and changes to the service. Staff undertook comprehensive assessments and developed care plans that were thorough, holistic and patient centred. Let's make care better together. 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. All staff we spoke with in learning disabilities services followed positive behaviour planning (PBS) and least restrictive practices. This was because of the air exchange system sending columns of cold air directly downwards when the ward gets above 28 degrees. The ward environments were clean. We found that in the CAMHS service prone restraint was still being used when retraining young people. Here are seven reasons why: 1. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. They understood peoples cultural needs and provided culturally appropriate care. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. Feedback from the outcome of complaints was not shared with the complainant on all occasions. Patients were at risk of not receiving effective care and treatment. We observed staff not wearing personal protective equipment (face masks) appropriately when on the ward. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. They were knowledgeable about the principles of PBS and were involved in observing behaviour and reporting to the multidisciplinary team to enable planning. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. Staff did not manage risks to patients and themselves well. Staffing was below the establishment number for five incidents reviewed. 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. Blanket restrictions continued to be in place on most wards. Our rating of this location improved. Andrew ARROWSWORD - 40 - ST Ben LORENNION - 28 - ST Iain CYN . Staff on the forensic, long stay rehabilitation and learning disability and autism wards did not always treat patients with compassion and kindness. Boardman ward is a low secure inpatient ward that can accommodate up to 11 children and adolescent females with complex mental health needs. Suspended ratings are being reviewed by us and will be published soon. However, some areas of the hospital, in particular the bathrooms and one seclusion room, required further work to meet these standards. The shower areas upstairs did not provide comfort or promote dignity and privacy. the service isn't performing as well as it should and we have told the service how it must improve. The clinic rooms were fully equipped and resuscitation equipment was checked regularly and recorded however not all wards had equipment. The leadership, governance and culture did not always support the delivery of high quality, person centred-care. an inspection looking at part of the service. Staff had not escalated these issues to estates management, leading to an unpleasant environment for patients. 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. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. Peoples care, treatment and support plans, reflected their sensory, cognitive and functioning needs. Staff supported them to achieve their goals. We visited Spring Hill House, Sitwell and Stowe wards. The largest UK medium secure service for deaf men aged between 18 and 65 years old. 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. When reception staff were away from their desk, access to the building was delayed for patients. Senior managers told us the concerns that triggered the focused inspection were not a surprise and that Seacole was on their watchlist. The door to the room did not lock and patients needing the toilet could enter. Our rating of this location stayed the same. Peoples risks were assessed regularly and managed safely. They actively involved patients and families and carers in care decisions. 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. 113, St Andrews . Staff told us that they dreaded coming into work and felt professionally vulnerable. 10 June 2020. 258. Staff did not complete care plans for all identified risks. PICU- Going into the weekend we have 2 beds available on our Male PICU in Essex, there is currently no access to seclusion on this ward. The provider did not have an effective management supervision structure. 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. In the learning disability services there was not a clear and effective system for comprehensive handovers between nursing staff due to the set nursing shifts. 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. Short term quarantining ensures the safety of all of our patients and staff. 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. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas.