bayley ward st andrews northampton

Staff did not always keep patients safe from harm whilst on enhanced observations. There was little evidence that patients or their carers were actively involved in writing or reviewing their care plans on the learning disability wards. There were appropriate systems for managing and recording complaints. St Andrews Jobs in Northampton - 2022 | Indeed.com Any other browser may experience partial or no support. John Clare ward is a low secure inpatient ward that can accommodate up to nine children and adolescent females with complex mental health needs. There were recognised difficulties in the learning disability services in ensuring that the wards had the correct staff skill mix for the patients needs. People benefitted from the interactive and stimulating environment, and the service endeavoured to make further improvements in providing sensory spaces for people on the wards. Practice nurses from the GP surgery attended the wards to address patients physical healthcare needs. We observed staff searching patients in communal areas on two wards. The therapeutic value of regular engagement with family and friends can be key to a persons recovery and thankfully we are now able to welcome family and carers back on site. The unit had a shared electronic device which patients could use to make video calls and a shared phone. The behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. We don't rate every type of service. Staff told us patients snack times on the ward were 11am and 4pm. When reception staff were away from their desk, access to the building was delayed for patients. Most wards were safe, visibly clean, homely and well furnished. Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. Concerns identified at previous inspections had not always been addressed. Care records confirmed that the room was used regularly and recently. One carer told us at the moment its great, the social worker is fantastic, and that there were regular updates from staff. Senior staff monitored incidents and discussed outcomes and learning from them in team meetings. Dr. Richard Bayley Timeline - "A life of great usefulness" Last year it said improvements . However, we did find that improvements were needed to meet full compliance with the regulations in relation to the use of seclusion. Cranford is a medium secure ward for male older adult patients. 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 This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. the service is performing well and meeting our expectations. 10Off Bov2203ap Zett 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. Risk items were only removed if the patient had informed a staff member and were kept in locked lockers. Most staff treated patients with dignity and respect and were responsive to patients individual needs. Here are seven reasons why: 1. The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative. bayley ward st andrews northampton. Nursing and support staff we spoke with in the CAMHS services did not have any understanding of positive behaviour support. Some documents were saved on a shared drive rather than in the electronic system. Staff on forensic inpatient or secure wards did not always undertake and record physical health observations following rapid tranquilisation. Staff did not always provide patients with information about their rights under the Mental Health Act. St Andrews Hospital is a mental health facility in Northampton, . These older reports are from our old approaches to inspection, including those from before CQC was created. However, some areas of the hospital, in particular the bathrooms and one seclusion room, required further work to meet these standards. Berkeley Close (ground floor) is a female locked ward. Maple ward, a 10-bed medium blended secure service for women. Staff at the longstay rehabilitation service did not always uphold patients dignity in relation to medication and care. Bayley PICU St Andrew's Healthcare 27 March 2017. House of Commons Hansard Debates for 27 Jun 2001 (pt 30) Staff received mandatory and specialist training and most were up to date. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. (01604) 616000, Provided and run by: There was no recorded evidence of staff and patients having an immediate debrief following an incident. Patients will only be admitted to a PICU if they display a significant risk of aggression, absconding with associated risk, suicide or vulnerability (e.g. On Seacole Ward, there were errors in the recording of medication administration, Sitwell ward was not consistently documenting patients review of restraint. 10 February 2015. 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. The providers governance processes had not addressed staff failures to follow the providers procedures on enhanced observations, handovers and safety checks. No rating/under appeal/rating suspended Bayley PICU is a member of NAPICU and adheres to the NAPICU minimum standards and their admission criteria, Admission exclusion Criteria for PICU -Admission should not occur in the following circumstances. We found that shift leads allocated staff to complete enhanced observations for the same patient for up to twelve hours and allocated staff to complete observations continually throughout a shift for different patients for up to ten hours. 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. If patients did not understand their rights, staff did not always make further attempts. Managers said they felt supported and staff said they felt valued. We don't rate every type of service. any actions the Charity Commission has taken against the charity. The location was rated as inadequate overall and placed into special measures. Bracken ward, a 10-bed medium blended secure service for women. Leaders had delivered a project to address poor culture found at the last inspection. Please discuss this with the ward to arrange. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. 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. People bayleyward The policy around such practice was ambiguous and this was confirmed by the records we viewed. Senior managers told us the concerns that triggered the focused inspection were not a surprise and that Seacole was on their watchlist. BayleyWard holds the following certifications: ISO 9001:2015 / ISO 45001:2018 / ISO 14001:2015. . Teams held regular and effective multidisciplinary meetings. 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 engaged in clinical audit to evaluate the quality of care they provided. Good Staff had completed person centred and holistic care plans for 20 patients reviewed. The clinic rooms were fully equipped and resuscitation equipment was checked regularly and recorded however not all wards had equipment. We reviewed seven incident reports. Staff on Spencer North did not know where to find the ligature audit. However, we reviewed evidence that staff checked quality and temperature before serving food. Silverstone ward, a longer term high dependency rehabilitation unit for women over 18, with emotionally unstable personality disorder (EUPD) and disordered eating, 12 beds. We would like to show you a description here but the site won't allow us. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. Patients that have received a positive result can end their isolation before the 10 days if they have. 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. A female ward c 1920 . 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. To make a PICU enquiry or discuss a referral please contact our wards directly Each patient had their own en suite bedroom, which they could personalise. Inspection Report published 25 February 2014 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published 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. 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. People and those important to them, including advocates, were involved in planning their care. The ward managers in the older adults service told us they felt supported in their roles and had excellent support from the directors of the service. During our visit we saw some patients engaged in their daily activities, such as participating in current affairs sessions and playing board games with other patients and staff. With the exception of rehabilitation, adolescent and forensic services, staff monitored the physical health of patients regularly and developed physical health goals and treatment for patients. The provider invested in a programme of support to promote staff well-being. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. 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 told the provider that they must provide CQC with an update relating to these issues on a fortnightly basis. Staff had not followed the dysphagia care plan for one patient on Sitwell ward, which had resulted in a choking incident. Staff were trained in the Mental Capacity Act and the Deprivation of Liberties Safeguards (DoLS). 1986-1989 Lee Ward; 1989-1998 Graham Eccles; 1998-2002 Benjamin Saunders; 2003-2008 Philip . Walton is for male patients with Huntingdons disease. St Andrews Healthcare Womens location has been registered with the CQC since 11 April 2011. House Prices in St Andrew's Road, Northampton - Rightmove 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. Regulation 18 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Staffing. 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. 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. All staff we spoke with in learning disabilities services followed positive behaviour planning (PBS) and least restrictive practices. there are some services which we cant rate, while some might be under appeal from the provider. It often occurred that staff were trained up to a level to work with patients, then moved to work on other wards. In adolescent services, one seclusion room had a faulty two-way intercom system. Psychiatric intensive care unit, we spoke to four patients. The provider reported that 12% of shifts were unfilled between 01 February 2019 and 31 January 2020. 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. Managers ensured that staff had received training in safeguarding and made appropriate referrals. In rehabilitation, adolescent and forensic services, staff did not always complete physical healthcare monitoring following administration of rapid tranquilisation or commencement of seclusion. bayley ward st andrews northampton - funding-group.com There were meeting three times in a 24-hour period to review staffing across all wards. We know that being a relative, carer or friend of someone who has been admitted onto one of our crisis service wards can be worrying and stressful and our Carers team is hereto provide emotional support and help with issues such as health and money. 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. 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. Independent advocacy services were available to all patients. At Spring Hill House, we saw that refurbishments were taking place to the shower and bathing facilities. Four people told us that they liked the food but that the options could be improved. Two services did not make timely repairs to the environment when issues were raised. Staff working in the neuropsychiatry services had an understanding of current NICE guidelines. We found the following areas the provider needs to improve: Published A new application for a registered manager was in progress at the time of the inspection. There's no need for the service to take further action. Good 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. Patients reported that they did not always have access to healthy snacks (e.g. St Andrew's Healthcare. One patient said,' 'yes the staff are good here they are always ready to have a chat with you'. St Andrew's Healthcare Adolescent Services Northampton 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 . We found ligature risk and environment audits were undertaken every six months We saw that some ligature risks had been identified and there were contingency plans in place to manage these. Staff had not completed the required physical health checks following both administrations. How many deaths in St Andrews, Northampton? Who is accountable? . Managers did not share learning from incidents with their teams in the forensic and learning disabilities services. Leaders at the long stay rehabilitation services did not have the skills, knowledge and experience to perform their roles. bayley ward st andrews northampton. There was a high use of regular bank staff and agency staff. In some services staff did not assess patients capacity to consent to treatment appropriately. Patients could also use their own phones to check emails. Staff administered backslaps and dislodged the food. Qualified Psychologist - Learning Disability & ASD Staff made prompt referrals for any further specialist physical healthcare input. Staff at the forensic and learning disability services misgendered patients. The provider had removed 26 blanket restrictions following our last inspection. Nick Readett-Bayley, graduate of the Bartlett School of Architecture, established BayleyWard in early 2013 having arrived in Australia in 2010. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. 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. Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. We rated it as requires improvement because: Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Staff on forensic inpatient or secure wards did not always undertake and record physical health observations following rapid tranquilisation. . Western Reserve News there are some services which we cant rate, while some might be under appeal from the provider. Managers did not ensure established staffing levels on all shifts. The service did not meet the model of care set out in Right Support, Right Care, Right Culture. There had been an overall decline in the use of agency staff over the preceding 12 months. entry of bacteriophages and animal viruses into host cells. Staff had not completed care plans that met all the needs of patients with a diagnosed eating disorder. The ward was not resourced with equipment required to support patients with an eating disorder. Menu. Let's make care better together. Goals for recovery, including an estimated date of discharge from the PICU, will be set as part of the admission process. Who protects the vulnerable voiceless, like Bill, and Kristian, paying 6,000 (4,500 tax free) per week, for their enforced 'treatment'?. We are looking at different ways to indicate the outcomes of our monitoring in the future. This meant senior staff could move staff to where need indicated it was higher on some wards. 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. Each ward had a book dedicated to learning from incidents and complaints generated across the hospital site. Staff did not always demonstrate the values of the organisation when supporting patients. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. the service isn't performing as well as it should and we have told the service how it must improve. The provider had ongoing recruitment and retention programmes to attract new staff. We found that staff were not aware of learning from complaints, incidents and internal and external investigations. Bayley ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning+ disabilities / autistic spectrum disorder. There were times when patients were not well supported and cared for. Managers ensured that these staff received training, supervision and appraisal. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. 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. You can also Whatsapp /Call him at 9311740424 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. In the psychiatric intensive care unit (PICU) some bedrooms, bathroom and shower areas were dirty and carpets were not clean. 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. However, one carer told us that there had been problems with communication, adding that no one had sought the families opinion. Staff supported people to play an active role in maintaining their own health and wellbeing. 7 August 2017, Published Two patients told us that they often had to wait a while for repairs to be carried out, we saw that patients frequently raised repair issues during community meetings. Staff were not completing risk assessments on Elgar ward, with information being copied between records for different patients. Staff received training in safeguarding and made appropriate referrals. At this inspection, wards for people with a learning disability or autism and long stay or rehabilitation wards for adults of working age have improved the overall rating from inadequate to requires improvement. We reviewed minutes from a de brief session, which confirmed this. Daily checks of the ligature cutters were not always completed. All medication included on the ward from admission. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Community meetings were held weekly services where patients could raise issues related to the ward, minutes were available for us to view. The success gave Northampton an excuse to build a larger stadium, as interest was high in the densely-populated city and the money was coming in. Admission will be based on an individual needs assessment and in some cases patients may be admitted directly to a PICU. the service is performing badly and we've taken enforcement action against the provider of the service. Not all wards had a seclusion facility available for use. We rated St Andrews Healthcare Northampton as requires improvement because: Published Full text of "Middlebury College magazine. Vol. 75, No. 2 : 2001" - Archive The multi-disciplinary team had not conducted reviews as required. 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. 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. St Andrew's Healthcare. Tallis, Tavener, Althorp, Berkeley Close (1st floor) are male locked wards. 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. 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. There were weekly bed management meetings to review bed numbers. Wards had seclusion rooms, low stimulus rooms and extra care suites for patient use. This meant patients were not always able to communicate effectively with staff to make their needs known. Billing Road, Northampton, Northamptonshire, NN1 5DG . 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. They minimised the use of restrictive practices and followed good practice with respect to safeguarding. Newly Qualified / Student Nurse Opportunities within our Deaf Service Patients were at risk of continuing harm. Staff on long stay rehabilitation wards did not always know what incidents to report and how to report them, however staff in the other services we inspected did know what to report and how. 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. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing . 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. We found culture had improved, and values of staff were better demonstrated between each other, their teams and caring for people. Browser Support NFHS is committed to protecting its members' privacy. Senior leaders were visible across the location and were approachable for patients and staff. Richmond Watson ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent males with complex mental health needs. Staff in forensic services did not always document fully what patients had been offered or received. Our rating of this location improved. Overview Latest inspection summary Managers ensured that staff had relevant training, regular supervision and appraisal. Staff developed a comprehensive care and personal behavioural plan for each patient that met their mental and physical health needs. Bayley, a psychiatric intensive care unit with 10 beds for women. The ward environments were safe and clean. Prior to Strat City's founding and the expansion of FAS, Stadium-of-Northampton was the largest venue in the country, seating 25,000. . Northampton, House of Commons Hansard Debates for 27 Jun 2001 (pt 29) Leadership development opportunities were available. In rehabilitation services, staff did not always respond appropriately to a decline in a patients physical health and did not use observation tools to review and assess the response needed. Staff supported people to make decisions following best practice in decision-making. StandRewsNurses (@StandRewsNurses) | Twitter The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced. At least one standard in this area was not being met when we inspected the service and, Find out more about our inspection reports, Child and Adolescent Mental Health Services (CAMHS). 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. we have taken enforcement action. A mental health hospital in Northampton has been stopped from admitting new patients on some of its wards following a damning CQC report. cio facial expressions test; uk employee working remotely from another country; blue yeti not showing up on blue sherpa; town of enfield ct tax bill search and pay 2022 fastest 4000w Folding Electric Kick Scooter in Afghanistan 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 . However, this was not always the case with night staff on Church ward. The provider did not have an effective management supervision structure. Staff completing extended periods of enhanced observations may be less likely to maintain the levels of concentration required to maintain patient safety. The complaints process was not always clearly displayed on the wards in formats people can understand. All our PICU wards are members of NAPICU, and adhere to the NAPICU minimum standards and their admissions criteria. Managers did not ensure staff had the right skills, knowledge and experience to meet the needs of patients with a diagnosed eating disorder. We received mixed comments from the patients that we spoke with over our two day visit.

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