The origins of the General Lunatic Asylum later St Andrews Hospital Northampton . On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. We had identified a similar issue in the June 2016 inspection. Contact bayleyward As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. Staff provided a range of care and treatment interventions suitable for the patient group. Most wards were safe, visibly clean, homely and well furnished. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Child and Adolescent Mental Health Services (CAMHS), Northampton Staff told us that rapid tranquillisation medication was administered most days. The teams included or had access to the full range of specialists required to meet the needs of patients on the ward. Family and friends telephone line: 01604 614570. No rating/under appeal/rating suspended The multi-disciplinary team had not conducted reviews as required. Staff used closed circuit television (CCTV) to monitor patients. The overall rating for this service has improved to requires improvement. There's no need for the service to take further action. We found gaps in observation records. 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. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. And are detained under the Mental Health Act 1983. Most patients did not have a copy of their care plan or knew what their goals were. St. Andrew's Hospital, Northampton - Google Books We are looking at different ways to indicate the outcomes of our monitoring in the future. Levels of restraint significantly increased since the last comprehensive inspection across the forensic service. One patient told us that the staff we have are amazing. Staff at the forensic and learning disability services misgendered patients. We also found that risk assessments and Care plans around this restraint were not always in place. Heygate ward Male PICU N'ton Tel: 01604 616 111 Email: SAH.PICUMaleNorthampton@nhs.net, Bayley ward Male PICU N'ton Tel: 01604 614 584 Email: SAH.PICUMaleNorthampton@nhs.net, Audley ward Male PICU Essex Tel: 01268 723 930 Email: SAH.PICUMaleEssex@nhs.net, Frinton ward Female PICU Essex Tel: 01268 723 860 Email: SAH.PICUFemaleEssex@nhs.net, Benfleet ward - Male ACUTE Essex Tel: 01268 723 934 Email: SAH.ACUTEMaleEssex@nhs.net, Naseby ward - Male ACUTE Northampton Tel: 01604 616 179. Overview Latest inspection summary One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. the service is performing exceptionally well. 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. 20 September 2013. Three patients told us that their planned activities had been cancelled. fruit), that there was a lack of healthy food options on the menus. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. Managers did not ensure all staff received appraisal and supervision at the forensic and learning disability services. This ensured learning not just from their own ward but from other services. Find out more about our inspection reports. Care focused on peoples quality of life and followed best practice. We rated it as inadequate because: OConnell ward is a locked ward for male older adults. Staff we spoke with knew where information was, however, information was not consistently in the same place for each record. The service did not meet the model of care set out in Right Support, Right Care, Right Culture. 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. Fifty one percent of staff had received Management of Actual and Potential Aggression (MAPA) training and 47% of staff were trained in Prevention and Management of Aggression and Violence (PMAV). Managers had not notified CQC about seven out of eight safeguarding incidents and had not referred one to the local authority safeguarding team. Learning disability patients told us that the restrictions around the risk safety system made them angry. 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. Daily checks of the ligature cutters were not always completed. Medical staff raised an issue about completing medical reviews for seclusion at night with only one doctor on duty for the site, and a second doctor available until midnight. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. 3. The provider had an induction programme for new staff and was supportive of further learning opportunities for all permanent staff. Patients could also use their own phones to check emails. Staff in forensic services completed regular ligature risk assessments and wards contained very few ligature risks. The remaining staff (2%) were out of date with training. 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. Multidisciplinary teams worked well together to provide the planned care. 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. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. 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. bayley ward st andrews northampton Sunley ward was not clean, bed linen was stained and smelly, and dirty linen was stored with clean linen. Teams held regular and effective multidisciplinary meetings. Staffing levels at the time of the incidents were recorded in each report. Telephone: 01604 614584. People were in hospital to receive active, goal-oriented treatment. People and those important to them, including advocates, were involved in planning their care. Also, staff were not always able to take their breaks and support the activities provision. St Andrew's Healthcare Adolescent Services Northampton Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. There was a dashboard for monitoring ward performance, quality and safety against agreed targets. We spoke with staff and people using the service and the ward managers for the three wards visited. Call for inquiry into deaths of four men at psychiatric hospital The location was rated as inadequate overall and placed into special measures. 10 November 2021. Contacting the team | University of St Andrews 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. St Andrew's Healthcare. 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. Andrew ARROWSWORD - 40 - ST Ben LORENNION - 28 - ST Iain CYN . Other patients on the ward could hear the patient in the toilet. Acorn ward (formerly Bayley) is a ten bed medium secure forensic service for boys with autistic spectrum conditions and / or learning disabilities. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding 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 had not met all patients physical health needs. 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. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare. There was little evidence that patients or their carers were actively involved in writing or reviewing their care plans on the learning disability wards. Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition. All patient bedrooms had ensuite facilities. We found issues with inappropriate storage of medicines, staff not labelling opened medications, patient allergy information and a significant medication error. People received good quality care, support and treatment because staff were trained to support their needs. Staff did not manage patient risks effectively. 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. 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. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. Ex-St Andrew's Healthcare carer spared jail after kissing mental health 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. Bracken ward, a 10-bed medium blended secure service for women. We were concerned that staff were not reporting all safeguarding concerns to the local authority safeguarding team at the forensic and psychiatric intensive care services. 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 ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare. You'll be coming to a world-class facility with its own teaching hospital and academic centre. Staff had not completed care plans that met all the needs of patients with a diagnosed eating disorder. Whichhem. Walton is for male patients with Huntingdons disease. Neurobehavioural Rapid Response -We have one male bed available today. 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). The service had appropriately skilled staff to keep them safe. Care records confirmed that the room was used regularly and recently. 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? Facilities and premises used on Elgar and Spring Hill wards were not appropriate for the service being provided. Those that did have care plans on Bradlaugh found that it was not in accessible format. We saw that staff in the neuropsychiatry services and PICU were using tablet computers to monitor outcome measures electronically while on the ward which meant that they saved time by not returning to the desktop computer and logging into the electronic note system. St Andrews Healthcare Womens location has been registered with the CQC since 11 April 2011. About Us. However, staff told us that they would hear of incidents on other wards by word of mouth rather than through any formal means. Nine out of fourteen self harm incidents reviewed occurred due to staff not completing enhanced observations as prescribed. Regulation 13 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safeguarding service users from abuse and improper treatment. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing . 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). Four people told us that they liked the food but that the options could be improved. People were protected from abuse and poor care. The provider was not compliant with the Mental Health Act Code of Practice. We spoke with a senior member of staff who described patients with an eating disorder as not a patient group who inspires excitement. There was no recorded evidence of staff and patients having an immediate debrief following an incident. bayley ward st andrews northampton - Big Bang Blog 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. However, Naseby in Northampton may be able to admit over the weekend, please contact the ward directly on the number below for an update. In rehabilitation, adolescent and forensic services, staff did not always complete physical healthcare monitoring following administration of rapid tranquilisation or commencement of seclusion. ANMF; Mandalay; Martha Cove; Hobba; Flinders Landing; Apartments the service isn't performing as well as it should and we have told the service how it must improve. Insufficient improvements have been made such that there remains a rating of inadequate for any core service, key question or overall. Patients were at risk of continuing harm. St. Andrews Hospital had its own physical healthcare team who saw patients on the wards. The service provided safe care. Concerns identified at previous inspections had not always been addressed. Since 1 February 2019, the Bayley PICU have been trialling body ward cameras on nurses. Staff used positive behavioural support plans with patients effectively. The average price for a property in St Andrew's Road, Northampton, Northamptonshire, NN2 is 155,000 over the last year. 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. Forensic inpatient and secure wards: all patients told us that they had received advice regarding their medications. There were appropriate systems for managing and recording complaints. People received kind and compassionate care. In the learning disability services significant blanket restrictions were seen for example cigarette breaks were taken hourly, drinks were at set times, access to bedrooms were restricted and no access to kitchens or sensory rooms unless accompanied by an occupational therapist. Goals for recovery, including an estimated date of discharge from the PICU, will be set as part of the admission process. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. They understood peoples cultural needs and provided culturally appropriate care. 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. bayley ward st andrews northampton - drsujayabanerjee.com Patients were given leave to attend church for private prayers. This meant people received compassionate and empowering care that was tailored to their needs. Wards had a range of rooms for care and treatment and rooms for patients to meet visitors in private. Managers ensured that staff had received training in safeguarding and made appropriate referrals. Pleaseclick herefor more information andspecific contact details. Patients could access garden areas and open spaces. Males aged between 18 and 65 years old mental health issues that may include: These criteria are a guide for assessing suitability. There were blanket restrictions on Sunley ward. Click hereto share your feedback. We observed a senior member of staff dismiss a patient who asked to speak with them about safeguarding concerns. Leaders had delivered a project to address poor culture found at the last inspection. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. Richmond Watson ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent males with complex mental health needs. Child and Adolescent Mental Health Services (CAMHS) in Northampton is a Hospitals - Mental health/capacity specialising in the provision of services relating to assessment or medical treatment for persons detained under the 1983 act, caring for children (0 - 18yrs), caring for people whose rights are restricted under the mental health act, eating We reviewed minutes from a de brief session, which confirmed this. 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. 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. The BDMs are the first point of contact for all research proposals to external funding bodies in the UK, EU and Overseas and for research projects with industry. Prone restraint was used only when the patient had requested it in their care planning (some patients prefer to the floor forward instead of backward), the patient had put themselves on in that position or if an injection was required. 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 recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. The ward was not resourced with equipment required to support patients with an eating disorder. bayley ward st andrews northampton - domenicoludovico.com This was because of the air exchange system sending columns of cold air directly downwards when the ward gets above 28 degrees. For family visiting our Northampton site, St Andrew's are able to offer accommodation locally to aid your support of a loved on in our crisis services. Staff on the forensic wards did not always follow infection control procedures. Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. Staff received and kept up to date with training on the Mental Health Act and the Mental Health Capacity Act. 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. We found that routine restrictive practices were in place to manage risk, behaviours related to daily care and treatments were measured using generic levels. Staff provided a range of care and treatment in line with best practice and national guidance (from relevant bodies e.g. Type of organisation Voluntary Sector Service Descripton of organisation In patient Out patient Residential miles (straight line) miles (approximate road distance) Entry last updated There were weekly manager and matron meetings to review issues, monthly quality and safety meetings, which included the managers, clinicians and compliance manager. We found in the older adults services that care plans were detailed, personalised and accurate to the care we observed being provided. 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 Our four male and female PICU wards are based centrally across Northampton and Essex offering 24/7 rapid assessment, intensive treatment and stabilisation for people with acute phases of mental illness, we aim to give you a decision on your referral within the hour. 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. Each patient had their own en suite bedroom, which they could personalise. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas. The clinic rooms were fully equipped and resuscitation equipment was checked regularly and recorded however not all wards had equipment. This meant senior staff could move staff to where need indicated it was higher on some wards. Patients told us staff worked hard and were kind to them. Staff did not provide a range of care and treatment options suitable for this patient group. Staff supported people to play an active role in maintaining their own health and wellbeing. People and those important to them, including advocates, were actively involved in planning their care. People who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols, could interact comfortably with staff and others involved in their treatment/care and support because staff had the necessary skills to understand them. 13 February 2012. the service is performing badly and we've taken enforcement action against the provider of the service. Our rating of this location stayed the same. We saw rotas which showed the wards were regularly using bank or agency staff, Mackaness had three members or regular staff on duty and six agency staff on the day of our visit. They understood and responded to their individual needs. There was a high use of regular bank staff and agency staff. Our rating of this location improved. 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. People with physical health issues such as epilepsy, did not have appropriate care plans to manage bathing. Two services did not make timely repairs to the environment when issues were raised. Qualified Psychologist - Learning Disability & ASD

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