BayleyWard holds the following certifications: ISO 9001:2015 / ISO 45001:2018 / ISO 14001:2015. . the service is performing well and meeting our expectations. We also found that risk assessments and Care plans around this restraint were not always in place. Walton is for male patients with Huntingdons disease. The wards did not have adequate psychology and occupational therapy provision for people on the wards. Family and friends telephone line: 01604 614570. Some records had part of the paperwork uploaded. Blanket restrictions continued to be in place on most wards. Staff had not always followed the providers policy on patient observations in two services. Home; About Us. Some people were not happy about being on the ward because they were detained their under the Mental Health Act 1983. The provider had an induction programme for new staff and was supportive of further learning opportunities for all permanent staff. Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. Staff Nurse - Deaf Service Job in Northampton, ENG at St Andrew's Regulation 13 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safeguarding service users from abuse and improper treatment. John Clare ward is a low secure inpatient ward that can accommodate up to nine children and adolescent females with complex mental health needs. Qualified Psychologist - Learning Disability & ASD Recommendations from external bodies were not always taken on board and these decisions were not always justified. On most wards, staff updated patients risk assessments regularly and included patients individual needs. Our rating of this location improved. We found that each patient had a daily schedule of therapeutic activities. Seclusion facilities were beingused for de-escalation and time out. 13: . This meant staff may not be clear what behaviour was expected in certain situation. 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. 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 charity that runs St Andrew's hospital in Northampton told the CQC it started looking into whether the deaths on its 20-bed Grafton ward were linked shortly after a third patient died in. There was a chaplaincy service and access to spiritual leaders for other faiths. 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. Governance processes did not always ensure that ward procedures ran smoothly. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. The provider had not ensured that ward areas were always well maintained. Each patient had their own en suite bedroom, which they could personalise. Some staff and patients told us that they did not feel safe on the learning disability wards. Staff spoken with were burnt out and distressed. There was a monthly lessons learnt bulletin for staff. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing . Staff at these services were not reporting all incidents and not recording all incidents appropriately. The wards had enough nurses and doctors. The leadership and governance did not always support the delivery of high quality, person centred-care. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding 2. Staff supported patients to engage with the wider community. 16 September 2016, Published Psychiatric Intensive Care Unit (PICU) for male and females St Andrew 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. Staff did not always act to prevent or reduce risks to patients and staff. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. Doctors and nurses did not complete records for all of the reviews as required by the Mental Health Act code of practice. Patients and carers reported that managers were dismissive of concerns raised. 10 February 2015. 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. No rating/under appeal/rating suspended 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. Seven officers were called to deal with a disturbance at a Northampton hospital unit. 10 February 2015. Northampton, There were weekly bed management meetings to review bed numbers. The emphasis is on short-term intensive treatment with regular reviews of progress. Each patient will be individually assessed by our dedicated team. People received good quality care, support and treatment because staff were trained to support their needs. Patients had access, without supervision, to the main courtyard, however, there was a large opening in the ground of the courtyard that had been there for over 10 months without repair. Managers had not effectively managed the change to the ward profile. Patients reported that they did not always have access to healthy snacks (e.g. Staff told us morale was increasing following a period of change over the last two years and told us their managers were supportive. Cranford is a medium secure ward for male older adult patients. Suspended ratings are being reviewed by us and will be published soon. ANMF; Mandalay; Martha Cove; Hobba; Flinders Landing; Apartments 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 Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. The service does not have a registered manager in post but does have a nominated individual as required, and a controlled drugs accountable officer. Nine out of fourteen self harm incidents reviewed occurred due to staff not completing enhanced observations as prescribed. The 1999 Winchester City Council election took place on 6 May 1999 to elect members of Winchester District Council in Hampshire, England. Conditions were placed on the provider's registration that included the following requirements; 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. Patients were given leave to attend church for private prayers. There were appropriate systems for managing and recording complaints. Leadership had been strengthened and new ways of working implemented to improve the patient experience. In wards for people with a learning disability or autism, seclusion occurred in areas other than a seclusion room and staff did not always record it correctly in line with the MHA Code of practice. Staff had not always followed the providers policies and procedures when they needed to search patients or their bedrooms to keep them safe from harm. Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability 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. The service did not have enough nursing and support staff to keep patients safe. Multidisciplinary teams worked well together to provide the planned care. Staff ensured most patients needs were assessed and met within care plans. 10 June 2020. The ward environments were clean. Sunley ward was not clean, bed linen was stained and smelly, and dirty linen was stored with clean linen. Staff planned and managed discharge well and liaised well with services that would provide aftercare. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. One patient told us that the regular bank staff were caring and understood their needs, but two patients told us that bank staff were not responsive to their needs. In response to a compliance action issued following our last inspection in November 2012, the provider demonstrated they were actively recruiting staff. Long stay or rehabilitation wards: Patients told us they felt safe. Patients described the new dietician as amazing. Staff did not always follow the Mental Health Act Code of Practice in relation to seclusion, long term segregation and blanket restrictions. It has defined its key patient outcomes to be rapid stabilisation, crisis resolution, risk-reduction, prevention of relapse and promotion of recovery. 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. St Andrews Healthcare Womens location has been registered with the CQC since 11 April 2011. 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. The provider was not compliant with the Mental Health Act Code of Practice. If you have used our PICU services. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. 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. Males aged between 18 and 65 years old mental health issues that may include: These criteria are a guide for assessing suitability. The provider had improved governance systems and carried out recruitment drives to attract staff. People and those important to them, including advocates, were actively involved in planning their care. Agency staff did not have access to all of the systems, adding additional responsibilities onto the permanent staff. Managers had recently recruited a new senior nurse and staff were returning from long term sick leave. 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 Getting To The Hospital Collapse all By Road View By Bus View By Train View However, some areas of the hospital, in particular the bathrooms and one seclusion room, required further work to meet these standards. Managers on the learning disability wards and forensic wards did not make sure staff received specialist training for their role. Menu. We found that the provider had taken account of our previous inspection findings and had introduced additional quality monitoring measures. The provider had recently changed the local leadership of the ward. Staff Nurse- Deaf ServiceLocation: NorthamptonFull time - 37.5 hoursSalary: 29,062-29,884 depending on experience and preceptorship status + enhancements. Boardman ward is a low secure inpatient ward that can accommodate up to 11 children and adolescent females with complex mental health needs. We reviewed seven incident reports. On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. Staff did not complete care plans for all identified risks. 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. the service is performing well and meeting our expectations. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. 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. There was no recorded evidence of staff and patients having an immediate debrief following an incident. Last year it said improvements . Police were called to St Andrew's Hospital's Marsh ward at just before 6pm . There was a shower curtain on some, but not all showers. Staff had completed physical health assessments for patients on admission accessed specialist healthcare providers when needed. 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. One patient told us that the staff we have are amazing. Staff had not maintained patients dignity. Managers had not notified CQC about seven out of eight safeguarding incidents and had not referred one to the local authority safeguarding team. the service is performing badly and we've taken enforcement action against the provider of the service. Not all seclusion rooms considered the privacy and dignity of patients. Billing Road, Northampton, Northamptonshire, NN1 5DG. Andrew ARROWSWORD - 40 - ST Ben LORENNION - 28 - ST Iain CYN . One seclusion room did not have a shower and whilst the provider had made progress in the processes to plan, fund and source a shower in the seclusion room, it remained without a shower. The seclusion room on Church ward did not have shower facilities. Our rating of this service stayed the same. 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. Multidisciplinary teams worked effectively across all wards. The provider had plans to improve this, but these had not yet commenced. We reviewed one patients records who had been administered rapid tranquillisation medication twice in one day. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. The providers governance processes had not addressed staff failures to follow the providers procedures. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. MHA administrators had a thorough scrutiny process. Armed police called to Northampton hospital children's ward after
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