bayley ward st andrews northampton bayley ward st andrews northampton

We're a specialist charity that invests in innovative, patient-centric, holistic care. These older reports are from our old approaches to inspection, including those from before CQC was created. We found that each patient had a daily schedule of therapeutic activities. However, we did find that improvements were needed to meet full compliance with the regulations in relation to the use of seclusion. The service worked to a recognised model of mental health rehabilitation. Staff restricted access to patients wishing to use their bedrooms, and this was not individually risk assessed. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. Patients told us that there was not enough food, catering staff did not send meals or sent the wrong meals, food was sometimes "mouldy" and was not always cooked properly. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. 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. If you have used our PICU services,please let us know your views, opinions, thoughts or ideas to help us continuously improve. On Seacole ward there were issues with controlling temperatures on the ward. Patient is assessed as presenting too high an internal or perimeter security risk for the PICU, requiring a Medium or High secure PICU, The patient has a primary diagnosis of Substance misuse and the primary purpose of admission is solely to prevent access to substances, The patient has a primary diagnosis of Dementia, Learning Disability and Personality Disorder, Patients physical condition is too frail to allow their safe management on a PICU, Patient has a chronic condition which would not benefit from admission to PICU, The patient is restricted ( subject to MHA 1983 , via the courts ,Ministry of Justice) and has no clear pathway or provision for transfer from the PICU once clinically warranted, Patient must be 18 years and over and not above 65 years, Mental health awareness, including: understanding stress, understanding medication, substance misuse and understanding unusual experiences (psychosis), Therapy areas including crafts, information technology (IT) skills, kitchens and vocational rehabilitation. Therefore, we are taking action in linewith our enforcement procedures to begin the process of preventing the provider from operating the service. We found in the older adults services that care plans were detailed, personalised and accurate to the care we observed being provided. The provider had ongoing recruitment and retention programmes to attract new staff. We provide high quality, tailored treatment programmes which are developed to recognise each individuals strengths, needs and risks, with specific emphasis on treating mental illness and starting the recovery process. However, we reviewed evidence that staff checked quality and temperature before serving food. A multidisciplinary team worked well together to provide the planned care. We found culture had improved, and values of staff were better demonstrated between each other, their teams and caring for people. On PICU, forensic, rehabilitation and older adults wards staff had not uploaded the MHA legal detention papers in full to the electronic system. Staff stated that that the training offered by St Andrews was excellent. Staff had not always followed the providers policy on patient observations in two services. Bayley, a psychiatric intensive care unit with 10 beds for women. We found gaps in observation records. Blanket restrictions continued to be in place on most wards. Levels of restraint significantly increased since the last comprehensive inspection across the forensic service. Practice nurses from the GP surgery attended the wards to address patients physical healthcare needs. Acorn ward (formerly Bayley) is a ten bed medium secure forensic service for boys with autistic spectrum conditions and / or learning disabilities. Overview Latest inspection summary In some services staff did not assess patients capacity to consent to treatment appropriately. All other conditions outlined in the section 31 notice of decision from July 2021 remained applicable. We were told that ward community meetings took place and we saw records of the meetings were kept. 7: Sir William Wake 9th Bt 17681846 page . Patients told us there were limited food options, especially if vegetarian. Managers agreed that at times it was difficult to ensure the safety of the ward, whilst meeting the needs of the patients. The provider had not ensured that ward areas were always well maintained. People were protected from abuse and poor care. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Senior managers of the hospital and senior ward-based staff had taken steps to address a closed culture that was identified at our last inspection. Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. This meant that staff did not always evaluate the quality of support provided to people and embed learning into practice. The provider had not fully responded to the needs of patients on the long stay rehabilitation and learning disability and autism wards. On Seacole Ward, there were errors in the recording of medication administration, Sitwell ward was not consistently documenting patients review of restraint. We found that the provider had taken account of our previous inspection findings and had introduced additional quality monitoring measures. Staff on forensic inpatient or secure wards did not always undertake and record physical health observations following rapid tranquilisation. The ward was not resourced with equipment required to support patients with an eating disorder. Andrew ARROWSWORD - 40 - ST Ben LORENNION - 28 - ST Iain CYN . Tallis, Tavener, Althorp, Berkeley Close (1st floor) are male locked wards. 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 last comprehensive inspection of this location was in July and August 2021. Staff made prompt referrals for any further specialist physical healthcare input. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. Berkeley Lodge, 37 and 38 Berkeley Close and 19 The Avenue are locked units. Feedback from the outcome of complaints was not shared with the complainant on all occasions. Also, staff were not always able to take their breaks and support the activities provision. The largest UK medium secure service for deaf men aged between 18 and 65 years old. 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. The heating was not working properly. The multi-disciplinary team had not conducted reviews as required. Please discuss this with the ward to arrange. Some staff did not know how to access peoples care records on the electronic records system. The service did not have enough nursing and support staff to keep patients safe. Data provided showed a downward trajectory in the use of restraint and in the use of prone restraint. Staff did not record all the medicines they had disposed of. 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. However, one carer told us that there had been problems with communication, adding that no one had sought the families opinion. 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. Arthur; Trick, Kerith Lloyd Kinsey (1989), St. Andrew's Hospital Northampton: the first 150 years, 1838-1988, . Occupational health services and a trauma nurse supported staff physical and emotional health needs. Those that did have care plans on Bradlaugh found that it was not in accessible format. Patients alleged that staff on Sunley ward used inappropriate restraint techniques. 2023 - All Rights Reserved St Andrew's Healthcare, Governance, CQC ratings and Annual reports, Child and Adolescent Mental Health (CAMHS), Information for family, friends and carers, LightBulb Mental Wellness for Schools Program, Centre for Developmental and Complex Trauma, Significant risk of harming themselves or others. There were regularly high numbers of bank and agency staff used across these wards. The service had appropriately skilled staff to keep them safe. Staff received annual appraisals and most staff received regular supervision. 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 described the furniture as uncomfortable. Nurse managers reported they received prompts from the providers training department when staffs mandatory training or refreshers were due. Staff did not provide a range of care and treatment options suitable for this patient group. Psychiatric intensive care unit, we spoke to four patients. Staff supported them to achieve their goals. 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 Home Uncategorized gotrax scooter not accelerating. Staff did not learn from cleanliness audits. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. Good 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. Getting To The Hospital Collapse all By Road View By Bus View By Train View Staff did not always follow the providers policy and procedures on the use of enhanced observations when supporting patients assessed as being at higher risk of harm to themselves or others. Some staff did not demonstrate understanding about appropriate use of seclusion facilities in the learning disability services. Recommendations from external bodies were not always taken on board and these decisions were not always justified. There was no recorded evidence of staff and patients having an immediate debrief following an incident. All patients we spoke to stated that they had been involved in the development of both their care and behavioural support plans. Staff were not completing risk assessments on Elgar ward, with information being copied between records for different patients. Multidisciplinary teams worked effectively across all wards. Staff supported people to play an active role in maintaining their own health and wellbeing. People were supported to be independent and their human rights were upheld. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. 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, including: Once risk is reduced and the patients mental state and behaviour has been stabilised, transfer to an appropriate facility will take place we focus on moving individuals on to these services and back in to less secure or community setting as soon as possible. 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. Hawkins and Makeness wards had recently participated in the overall William Wake House self and peer review parts of the quality network assessment for forensic mental health services. 29 December 2012. The provider managed quality and safety using a variety of tools. Staffing numbers did not meet establishment levels. Our rating of this service improved. We reviewed 26 incidents that occurred between 1 November 2019 and 3 February 2020. They told us this affected the quality of the service they received and restricted their engagement in planned therapeutic activities. 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. The provider told us they shared learning from incidents via alerts sent by email. Staff did not always identify and report safeguarding concerns. 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. The door to the room did not lock and patients needing the toilet could enter. Staff managed known risks with nursing observations and individual risk assessments. 25 February 2014. We carried out this inspection in response to concerning information received through our monitoring processes. bayley ward st andrews northampton. Compton is a locked ward for male and female older adult patients. 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. People received kind and compassionate care. Staff received mandatory and specialist training and most were up to date. Suspended ratings are being reviewed by us and will be published soon. 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. More. Company Information; FAQ; Stone Materials. Staff used positive behavioural support plans with patients effectively. fruit), that there was a lack of healthy food options on the menus. Staff Nurse- Deaf ServiceLocation: NorthamptonFull time - 37.5 hoursSalary: 29,062-29,884 depending on experience and preceptorship status + enhancements. Here are seven reasons why: 1. Staff did not always ensure patients physical healthcare needs were met at the psychiatric intensive care, forensic and long stay rehabilitation wards. Staff were confused about what constituted long term segregation and the purpose of using long term segregation. Staff had not completed full assessments for patients with a diagnosed eating disorder prior to admission. Full text of "The Baptist Quarterly 1973-1974: Vol 25 Index" See other formats The Baptist Quarterly incorporating the Transactions of the Baptist Historical Society NEW SERIES VOLUME XXV 1973-1974 Publidied by tbe Baptist Historical Society, 4, Soudamiptoo Row, Loodon, WCIB 4AB. Staff engaged in clinical audit to evaluate the quality of care they provided. Forensic inpatient and secure wards: all patients told us that they had received advice regarding their medications. We were told that some agency staff and some bureau staff did not have access to the electronic notes system meaning that patient information would not be readily available in an emergency. Staff did not complete peoples enhanced and general observations in accordance with the provider policy and we found numerous gaps in the observations records. Type of organisation Voluntary Sector Service Descripton of organisation In patient Out patient Residential miles (straight line) miles (approximate road distance) Entry last updated We rated it as inadequate because: Following our inspection we took urgent action because of immediate concerns we had about the safety of patients on the forensic, long stay rehabilitation and learning disability and autism wards. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. Staff did not follow correct infection control procedures in relation to coronavirus. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. 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. 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. Not all seclusion rooms considered the privacy and dignity of patients. In adolescent services, one seclusion room had a faulty two-way intercom system.