Compton Ward Northampton General Hospital, Cliftonville, Northampton, Northamptonshire, NN1 5BD 01604 634 700 Send email Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? 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 recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Staff on the forensic, long stay rehabilitation and learning disability and autism wards did not always treat patients with compassion and kindness. Staff were confused about what constituted long term segregation and the purpose of using long term segregation. BayleyWard holds the following certifications: ISO 9001:2015 / ISO 45001:2018 / ISO 14001:2015. . StandRewsNurses (@StandRewsNurses) | Twitter We don't rate every type of service. bayley ward st andrews northampton 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. Menu. 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. Our PICU patients are supported by high levels of experienced medical and nursing staff, Psychologists, Social Workers and Occupational Therapists. that the provider must not admit any new patients without permission from the CQC; that wards must be staffed with the required numbers of suitably skilled staff to meet patients needs; that staff undertaking patient observations must do so in line with the providers policy; that staff must receive required training for their role and that audits of incident reporting are completed. Staff received mandatory and specialist training and most were up to date. examples of figurative language in lamb to the slaughter fashioned biblical definition gonif yiddish definition border patrol hiring process forum 2020 tennessee tech . There was a range of psychological interventions available for patients which patients were encouraged to attend. 1648 Ward, who rec 500a on a branch of Pagan Bay . This equated to a fill rate of 89% against the provider target of 90%. One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas, although the provider reported these immediately. Consultants did not always accurately complete medication consent paperwork (T2 and T3 forms). 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. Bayley ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning+ disabilities / autistic spectrum disorder. Two services did not make timely repairs to the environment when issues were raised. We observed a senior member of staff dismiss a patient who asked to speak with them about safeguarding concerns. This testing will be done from day 5. Our rating of this location improved. Treatment of disease, disorder or injury. If a patient has been discharged from their MHA detention at short notice, there may be a short period of time during which they remain on the PICU informally until an onward care plan and pathway is arranged. The provider had improved governance systems and carried out recruitment drives to attract staff. A 17-year-old girl is being held in a 'cell' in St Andrews Healthcare, Northampton Credit: Alamy She has been in the 12ft by 10ft cell, which only contains a plastic-covered mattress and. This was because of the air exchange system sending columns of cold air directly downwards when the ward gets above 28 degrees. Staff in forensic services completed regular ligature risk assessments and wards contained very few ligature risks. The behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. 10Off Bov2203ap Zett The heating was not working properly. Wards had family friendly visiting rooms along with policies and procedures for children visiting. However, some areas of the hospital, in particular the bathrooms and one seclusion room, required further work to meet these standards. One patient was not involved in their care plan. 7 August 2017, Published St Andrew's Healthcare - Womens Service - CQC However, Naseby in Northampton may be able to admit over the weekend, please contact the ward directly on the number below for an update. Staff had not escalated these issues to estates management, leading to an unpleasant environment for patients. Download easy to read version for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Learning Disabilities Reviews Report published 13 February 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. 113, St Andrews . Billing Road, Northampton, Northamptonshire, NN1 5DG It has defined its key patient outcomes to be rapid stabilisation, crisis resolution, risk-reduction, prevention of relapse and promotion of recovery. Managers sought to embed a culture promoting transparency, respect and inclusivity. Staff had not ensured the physical security of Willow ward. Suspended ratings are being reviewed by us and will be published soon. the service isn't performing as well as it should and we have told the service how it must improve. Managers said they felt supported and staff said they felt valued. 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. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. There was a high use of regular bank staff and agency staff. 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. Staff did not always respect patients privacy and dignity on the forensic and long stay rehabilitation wards. Find out more about our inspection reports. Staff did not always ensure patients physical healthcare needs were met at the psychiatric intensive care, forensic and long stay rehabilitation wards. Find and compare services St Andrew's Healthcare St Andrew's Healthcare - Womens Service Independent mental health service St Andrew's Healthcare - Womens Service Overall: Requires improvement Billing Road, Northampton, Northamptonshire, NN1 5DG (01604) 616000 Provided and run by: St Andrew's Healthcare Staffing levels at the time of the incidents were recorded in each report. Staff restricted access to patients wishing to use their bedrooms, and this was not individually risk assessed. Policies for seclusion, long term segregation and enhanced support were confusing and the long term segregation policy did not meet the Mental Health Act code of practice in respect of review requirements. 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. Blanket restrictions were also seen on the CAMHS units, for example on one ward young people were prevented from having sugar and there were restrictions around the length and time of day that young people could make telephone calls. 30 October 2018, Published Staff developed a comprehensive care and personal behavioural plan for each patient that met their mental and physical health needs. 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. People were supported to be independent and their human rights were upheld. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. On Bracken ward we observed two incidents where staff had kept the door of the toilet ajar when observing a patient in the day area. The provider had not ensured that ward areas were always well maintained. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. 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. Psychiatric intensive care unit, we spoke to four patients. Armed police called to Northampton hospital children's ward after Our rating of this service improved. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. Staff used positive behavioural support plans with patients effectively. No rating/under appeal/rating suspended the service is performing badly and we've taken enforcement action against the provider of the service. A mental health hospital in Northampton has been stopped from admitting new patients on some of its wards following a damning CQC report. Multidisciplinary teams worked well together to provide the planned care. There were weekly bed management meetings to review bed numbers. Staff assessed and managed risk well. The ward environments were clean. The provider was required to provide CQC with an update relating to these conditions on a fortnightly basis. Staff did not always feel respected, supported and valued on the long stay rehabilitation and learning disability and autism wards. Staff documented patients did not have capacity but did not give a rationale as to why they had made this decision nor document any discussion. Short term quarantining ensures the safety of all of our patients and staff. Staff received training in safeguarding and made appropriate referrals. 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. 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. Not all staff had completed training in the Mental Health Act (MHA) or the Mental Capacity Act (MCA). The largest UK medium secure service for deaf men aged between 18 and 65 years old. Staff did not always treat patients with kindness, dignity and respect. Managers did not ensure established staffing levels on all shifts. 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. Full text of "Middlebury College magazine. Vol. 75, No. 2 : 2001" - Archive Patients had access to independent mental health advocacy. The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. This location consists of four core services: acute wards for adults of working age and psychiatric intensive care units; long stay/rehabilitation mental health wards for working age adults; forensic/inpatient secure wards; wards for people with learning disabilities or autism. Qualified Psychologist - Learning Disability & ASD Staff on Spencer North did not know where to find the ligature audit. We're a specialist charity that invests in innovative, patient-centric, holistic care. 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. James End, Northampton - St. James End, Northampton However, one patient told us that staff did not always consider the impact on patients who witnessed the use of restraint. The service does not have a registered manager in post but does have a nominated individual as required, and a controlled drugs accountable officer. St Andrew's Healthcare - Womens Service Quality Report Billing Road Northampton NN1 5DG Tel: 01604 616000 . 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 rating of this service stayed the same. Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. St Andrew's Hospital - Wikipedia People received kind and compassionate care. A patient is assessed as posing a significant risk of suicide and the patient is unresponsive to preventative measures available, Absconding patients who are detained under the MHA 1983, for whom the consequences of persistent absconding are serious enough to warrant treatment in the PICU, Unpredictably patients, potentially posinga significant risk to self or others and requiring further assessment. 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. 1769, January 9 - married Catherine Charlton (Sister of Dr. John Charlton) in St . The provider invested in a programme of support to promote staff well-being. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. Regulation 18 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Staffing. Two carers told us there were not enough staff on the ward and one carer raised concerns regarding the number of male agency staff on duty at night. 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. we have taken enforcement action. Staff did not ensure that patients had a care plan in place for the use of rapid tranquilisation in line with policies and procedures. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. People bayleyward 10 November 2021. We found examples of poor record keeping of handovers. 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 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. On PICU, forensic, rehabilitation and older adults wards staff had not uploaded the MHA legal detention papers in full to the electronic system. 1 April 2020. 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. We could detect a strong smell of urine in some bedrooms. 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. We found that each patient had a daily schedule of therapeutic activities. 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. How many of them have died in St Andrews? 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,. 13: . This service was placed in special measures on 10 June 2020. Staff communicated with people in ways that met their needs. Suspended ratings are being reviewed by us and will be published soon. Staff told us that the chief executive officer visited regularly. 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 . Please discuss this with the ward to arrange. The provider had not fully responded to the needs of patients on the long stay rehabilitation and learning disability and autism wards. Regulation 17 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Good governance. We found that the risk based safety system is being used to manage non risk behaviours such as non-engagement. Compton is a locked ward for male and female older adult patients. The majority of patients felt they were supported well by the staff team on the ward. People and those important to them, including advocates, were actively involved in planning their care. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. Good How many deaths in St Andrews, Northampton? Who is accountable? We were not assured that leaders had taken sufficient action to address concerns raised during the focused inspection of the forensic service in January and February 2020 or addressed concerns of the same themes identified at other service inspections in St Andrews Healthcare. The wards had enough nurses and doctors. 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. Nine out of fourteen self harm incidents reviewed occurred due to staff not completing enhanced observations as prescribed. List of musicians at English cathedrals - Wikipedia 2022 fastest 4000w Folding Electric Kick Scooter in Afghanistan Staff did not always demonstrate the values of the organisation when supporting patients. due to sexual disinhibition or over-activity) in the context of a serious mental illness. Staff discussed current concerns and risk issues for all patients and agreed on actions required. Care records confirmed that the room was used regularly and recently. MHA administrators had a thorough scrutiny process. The origins of the General Lunatic Asylum later St Andrews Hospital Northampton . Practice nurses from the GP surgery attended the wards to address patients physical healthcare needs. The service did not have enough nursing and support staff to keep patients safe at all core services. Safe was rated as inadequate, effective rated requires improvement, caring rated inadequate, responsive rated requires improvement and well led rated as inadequate. There were gaps in records where staff had not signed the entries. The leadership and governance did not always support the delivery of high quality, person centred-care. The provider had recently changed the local leadership of the ward. Staff planned and managed discharge well and liaised well with services that would provide aftercare. The provider had high vacancy rates in forensic, neuropsychiatry, older adults and rehabilitation services. This was raised on numerous occasions in community meetings with no evidence of any action taken. Staff reported incidents accurately and in line with the providers policy. Each patient had their own en suite bedroom, which they could personalise. the service is performing exceptionally well. Daily checks of the ligature cutters were not always completed. Some records had part of the paperwork uploaded. A second carer told us that staff keep us up to date, adding that they attend meetings and speak to both the social worker and care coordinator regularly. Staff did not record all the medicines they had disposed of. People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas. We rated it as requires improvement because: Our rating of this service stayed the same. Staff protected and respected peoples privacy and dignity. Supervision was highlighted as an issue in learning disabilities, older adults and rehabilitation services. They actively involved patients and families and carers in care decisions. Call for inquiry into deaths of four men at psychiatric hospital St. Andrew's Hospital, Northampton: The First 150 Years (1838-1988) There was little evidence that patients or their carers were actively involved in writing or reviewing their care plans on the learning disability wards. Admission will be based on an individual needs assessment and in some cases patients may be admitted directly to a PICU. Staff had not always followed the providers policy on patient observations in two services. Staff supported people to play an active role in maintaining their own health and wellbeing. People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood each persons individual needs. NFHS is committed to protecting its members' privacy. Staff received annual appraisals and most staff received regular supervision. This is an organisation which is involved in promoting and developing work within the PICU settings. Requires improvement Grafton and Hereward Wake wards did not have a seclusion room. 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. Managers had not notified CQC about seven out of eight safeguarding incidents and had not referred one to the local authority safeguarding team. This meant that staff did not always evaluate the quality of support provided to people and embed learning into 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. There was a need toassess and treat patients based on individual risk and identified needs, rather than placing emphasis on generic, restrictive risk management processes. Reports under our old system of regulation. At least one standard in this area was not being met when we inspected the service and 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. Staff working in the neuropsychiatry services had an understanding of current NICE guidelines. Feedback from focus groups and information received through CQC also reported a bullying culture in some parts of the organisation. Irene was also a member of the Sweetbriar Garden Club and British Wife's. Agency staff did not have access to all of the systems, adding additional responsibilities onto the permanent staff. 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. Learning disability wards were part of the overall deregation project and were not suitable to meet patients needs, for example they were not accessible for patients with significant physical disabilities or requiring wheelchair access. there are some services which we cant rate, while some might be under appeal from the provider. the service is performing exceptionally well. 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. You can also Whatsapp /Call him at 9311740424 However, we reviewed evidence that staff checked quality and temperature before serving food. The last comprehensive inspection of this location was in July and August 2021. There's no need for the service to take further action. The provider managed quality and safety using a variety of tools. There had been an overall decline in the use of agency staff over the preceding 12 months. 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. Inspection Report published 20 September 2013 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published There were meeting three times in a 24-hour period to review staffing across all wards. There were ligature points in the psychiatric intensive care unit and the provider did not ensure all patients risk assessments and care plans included the management of specific environmental ligature risks. Managers ensured that these staff received training, supervision and appraisal. Therefore, we are taking action in linewith our enforcement procedures to begin the process of preventing the provider from operating the service. There were robust systems in place for reporting and investigating incidents and complaints. Patients that have received a positive result can end their isolation before the 10 days if they have. The Pipe Organ Database is the definitive compilation of information about pipe organs in North America. Patients that have received a positive result can end their isolation before the 10 days if they have 2 consecutive negative LFT results 24 hours apart. Staff did not always keep patients safe from harm whilst on enhanced observations. Staff promoted equality and diversity in their support for people. 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. All other conditions outlined in the section 31 notice of decision from July 2021 remained applicable. Staff told us patients snack times on the ward were 11am and 4pm. Staff had not followed the dysphagia care plan for one patient on Sitwell ward, which had resulted in a choking incident. Three patients told us that the ward had several bank staff. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. Some staff did not know how to access peoples care records on the electronic records system. At least one standard in this area was not being met when we inspected the service and Staff supported them to achieve their goals. 16 September 2016. there are some services which we cant rate, while some might be under appeal from the provider. Governance processes did not always ensure that ward procedures ran smoothly. Managers did not ensure all staff received appraisal and supervision at the forensic and learning disability services.
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