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Whichhem. Staff were caring and keen to do the best for the patients. Nurse managers reported they received prompts from the providers training department when staffs mandatory training or refreshers were due. 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. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. Sunley ward was not clean, bed linen was stained and smelly, and dirty linen was stored with clean linen. bayley ward st andrews northampton. 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. Patients admitted to a PICU will have behavioural challenges which seriously compromise the physical or psychological wellbeing of themselves or others, and cannot be safely assessed or treated in an open acute inpatient facility (usually a general adult inpatient mental health ward). Staff told us patients snack times on the ward were 11am and 4pm. The largest UK medium secure service for deaf men aged between 18 and 65 years old. Staff restricted access to patients wishing to use their bedrooms, and this was not individually risk assessed. Berkeley Close (ground floor) is a female locked ward. People had a choice about their living environment and were able to personalise their rooms. Managers said they felt supported and staff said they felt valued. There had been an incident one weekend where there were no nasogastric trained staff available to administer the nasogastric feeds to a patient requiring this intervention. Managers had not followed recommendations from an internal investigation into concerns raised. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. Any other browser may experience partial or no support. The PICU hospital director offered regular open clinical between 7pm and 9pm which were open for staff to attend. Staff had not always recorded patients vital signs (in line with the National Institute for Health and Care Excellence (NICE guidance) when using rapid tranquilisation. (01604) 616000, Provided and run by: This meant that due to staff redeployment to work on other wards the arrangements in place to ensure people were supported by appropriately qualified and skilled staff were not being effectively managed. Senior staff monitored incidents and discussed outcomes in team meetings. The ward was not resourced with equipment required to support patients with an eating disorder. Silverstone ward, a longer term high dependency rehabilitation unit for women over 18, with emotionally unstable personality disorder (EUPD) and disordered eating, 12 beds. 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. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. Staff assessed and managed risk well. There were appropriate systems for managing and recording complaints. 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). Staffing levels at the time of the incidents were recorded in each report. due to sexual disinhibition or over-activity) in the context of a serious mental illness. Bayley, a psychiatric intensive care unit with 10 beds for women. Some staff did not demonstrate understanding about appropriate use of seclusion facilities in the learning disability services. the service isn't performing as well as it should and we have told the service how it must improve. there are some services which we cant rate, while some might be under appeal from the provider. Staff did not always ensure patients physical healthcare needs were met at the psychiatric intensive care, forensic and long stay rehabilitation wards. The provider had strengthened the implementation of positive behaviour support planning since the last inspection in June 2016. 24 September 2020. Our Carers Centre can be contacted on. . Monday to Friday 9am to 6pm 03 9695 0222 info@bayleyward.com ABN 32 162 916 467. 1986-1989 Lee Ward; 1989-1998 Graham Eccles; 1998-2002 Benjamin Saunders; 2003-2008 Philip . 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. Staffing was below the establishment number for five incidents reviewed. Regulation 18 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Staffing. ANMF; Mandalay; Martha Cove; Hobba; Flinders Landing; Apartments John Clare ward is a low secure inpatient ward that can accommodate up to nine children and adolescent females with complex mental health needs. Managers ensured that staff had relevant training, regular supervision and appraisal. Chief Inspector of Hospitals. 1 April 2020. The provider invested in a programme of support to promote staff well-being. Staff did not complete care plans for all identified risks. We found in the older adults services that care plans were detailed, personalised and accurate to the care we observed being provided. Seclusion rooms are available across our Neuro services where required. chase overdraft fee policy 24 hours; christingle orange cloves; northeast tennessee regional fire training academy; is srco3 soluble in water; basic science topics for nursery 2; bellflower property management; gifts from the holy land bethlehem; The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare. The provider told us they shared learning from incidents via alerts sent by email. Following our inspection, we issued a letter of intent informing the provider we were considering taking urgent action because of the immediate concerns we had about the safety of patients. 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. 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. Staff did not record all the medicines they had disposed of. Wards had a range of rooms for care and treatment and rooms for patients to meet visitors in private. 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. Each ward had a book dedicated to learning from incidents and complaints generated across the hospital site. Forensic inpatient and secure wards: all patients told us that they had received advice regarding their medications. Staff had completed physical health assessments for patients on admission accessed specialist healthcare providers when needed. Patients were at risk of not receiving effective care and treatment. Menu. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding Long stay or rehabilitation wards: Patients told us they felt safe. Staff did not receive annual MHA training and the provider could not demonstrate that staff had received training in the revised MHA code of practice. St. Andrews Hospital had its own physical healthcare team who saw patients on the wards. fruit), that there was a lack of healthy food options on the menus. There had been an increase in the group of patients with Huntingdons disease on Tallis ward which affected the clinical risks on the ward and this was raised as a concern, this was being addressed by staff receiving extra training in this area. Staffing levels at night were particularly low. Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. 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. Managers ensured that these staff received training, supervision and appraisal. Staff received regular supervision and had received annual appraisal. Leaders had delivered a project to address poor culture found at the last inspection. One patient felt the unit was the safest place ever, and staff were always available when needed but were always busy. [1] After the election, the composition of the council was: Liberal Democrat 34. She was born March 2, 1927 in Toronto, Ontario Canada, the daughter of William and Lena (Flowers) Page. 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 In response to a compliance action issued following our last inspection in November 2012 the provider was able to demonstrate that necessary maintenance works had taken place to the wards heating and cooling systems to ensure they were in working order. Some staff in the learning disability services told us that there was little engagement with senior managers or the organisations values and they did not feel able to engage with the wider organisational systems. entry of bacteriophages and animal viruses into host cells. People were in hospital to receive active, goal-oriented treatment. Although this was done to keep them and other people safe it meant that there were restrictions on what they were able to do and where they were able to go. there are some services which we cant rate, while some might be under appeal from the provider. All staff we spoke with in learning disabilities services followed positive behaviour planning (PBS) and least restrictive practices. Bayley Ward provides short periods of rapid assessment, intensive treatment and stabilisation for patients, before or during, a longer period of inpatient care. 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. There were regularly high numbers of bank and agency staff used across these wards. 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. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. Some rooms had sensory equipment that was available for people to use. Staff were not always updating patient risk assessments and care plans at the psychiatric intensive care and long stay rehabilitation wards. 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. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. the service is performing well and meeting our expectations. On Seacole Ward, there were errors in the recording of medication administration, Sitwell ward was not consistently documenting patients review of restraint. Care focused on peoples quality of life and followed best practice. Seacole ward had outstanding maintenance issues. 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. . 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. Updated 1st Jul 2021, 10:14am A former St Andrew's Healthcare carer who kissed a 'vulnerable' mental health patient five times was spared jail at Northampton Crown Court yesterday (Wednesday,. The wards did not always have enough nurses. If you have used our PICU services,please let us know your views, opinions, thoughts or ideas to help us continuously improve. People had their communication needs met and information was shared in a way that could be understood. the service is performing exceptionally well. 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. 7 August 2017, Published Reports under our old system of regulation. Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition. One patient told us that the staff we have are amazing. There was a chaplaincy service and access to spiritual leaders for other faiths. Professor Edward Baker Staff made prompt referrals for any further specialist physical healthcare input. Staff had not received the necessary specialist training for their roles on Sunley ward. New admissions will need to isolate and complete a lateral flow test. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. 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 . the service is performing well and meeting our expectations. Staff told us that rapid tranquillisation medication was administered most days. 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. However people using the service and staff spoke of their frustrations when staff were taken off Spring Hill House to work on other wards within the Women's Service. Staff engaged in clinical audit to evaluate the quality of care they provided. We don't rate every type of service. However, monitors were visible to staff from the office and to patients on entering or leaving the adjacent low stimulus room. 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. 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. Insufficient improvements have been made such that there remains a rating of inadequate for any core service, key question or overall. Staff reported incidents accurately and in line with the providers policy. The provider did not have an effective management supervision structure. The provider had plans to support 20 staff a year in this scheme. Our PICU patients are supported by high levels of experienced medical and nursing staff, Psychologists, Social Workers and Occupational Therapists. Police were called to St Andrew's Hospital's Marsh ward at just before 6pm . 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. Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. 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. We reviewed 21 care and treatment records for patients. Managers had not ensured established optimum staffing levels on all shifts. Three patients told us that the ward had several bank staff. 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. Inadequate Staff communicated with people in ways that met their needs. The neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. Published 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.