Some staff did not know how to access peoples care records on the electronic records system. At this inspection, wards for people with a learning disability or autism and long stay or rehabilitation wards for adults of working age have improved the overall rating from inadequate to requires improvement. These older reports are from our old approaches to inspection, including those from before CQC was created. We also found that risk assessments and Care plans around this restraint were not always in place. there are some services which we cant rate, while some might be under appeal from the provider. Safety was not a sufficient priority across the service. The provider had strengthened the implementation of positive behaviour support planning since the last inspection in June 2016. fruit), that there was a lack of healthy food options on the menus. One patient felt the unit was the safest place ever, and staff were always available when needed but were always busy. There was a range of psychological interventions available for patients which patients were encouraged to attend. Staff supported patients to engage with the wider community. 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 unit had a shared electronic device which patients could use to make video calls and a shared phone. 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 told us that rapid tranquillisation medication was administered most days. St. Andrews Hospital had its own physical healthcare team who saw patients on the wards. Managers did not ensure staff had the right skills, knowledge and experience to meet the needs of patients with a diagnosed eating disorder. People made choices and took part in activities which were part of their planned care and support. We also looked at seclusion facilities and seclusion records, as concerns had been identified at a Care Quality Commission Mental Health Act seclusion monitoring visit on 22 November 2013. In two services, care plans did not always reflect how to manage patients with physical health issues. This meant that they were able to receive independent support to help them express their views and assist with any appeal against their detention under the MHA if they so wished. More. St Andrew's Healthcare - Womens Service 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 people whose rights are restricted under the mental health act, learning disabilities, mental health conditions and Regulation 18 CQC (Registration) Regulations 2009 Notification of other incidents. cio facial expressions test; uk employee working remotely from another country; blue yeti not showing up on blue sherpa; town of enfield ct tax bill search and pay 10 June 2020. However, the service did not always have enough staff which meant that peoples programme of support was not always delivered in time. In particular high numbers of registered agency nurses had been booked for night duty, many of whom were male, and not known to the female patients. 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. However, a significant number of shifts remained unfilled. Staff were passionate about their job and knew patients well. bayley ward st andrews northampton. 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. Staff Nurse- Deaf ServiceLocation: NorthamptonFull time - 37.5 hoursSalary: 29,062-29,884 depending on experience and preceptorship status + enhancements. Staffing numbers did not meet establishment levels. Staff on Spencer North did not know where to find the ligature audit. There was a chaplaincy service and access to spiritual leaders for other faiths. The wards did not have adequate psychology and occupational therapy provision for people on the wards. 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. 1769, January 9 - married Catherine Charlton (Sister of Dr. John Charlton) in St . 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. 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? Suspended ratings are being reviewed by us and will be published soon. 2. Acute and Psychiatric Intensive Care Units. Good an inspection looking at part of the service. Most staff treated patients with dignity and respect and were responsive to patients individual needs. Patients and staff told us that staff shortages often resulted in staff cancelling escorted leave, hospital appointments and activities across all cores services. All other conditions outlined in the section 31 notice of decision from July 2021 remained applicable. the service is performing well and meeting our expectations. Staff assessed and managed risk well and followed good practice with respect to safeguarding. 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. The provider had ongoing recruitment and retention programmes to attract new staff. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. Governance processes did not always ensure that ward procedures ran smoothly. She was born March 2, 1927 in Toronto, Ontario Canada, the daughter of William and Lena (Flowers) Page. The Bayley Ward team aims to provide a high-qualityservice offering assessment, treatment, care and security for men who are in an acutely disturbed phase of a serious mental disorder. Staff ensured most patients needs were assessed and met within care plans. . Nurse managers reported they received prompts from the providers training department when staffs mandatory training or refreshers were due. This meant staff could not find the most up to date plan of how to care for people using the service. Patients had access to independent advocacy services. Patients could also use their own phones to check emails. at Northampton are the Adolescents services, men's services, women's services and acquired brain injury . Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. We were told that there were issues around maintaining staff on Fairburn ward who were trained in British sign language (BSL). For services we haven't rated we use ticks and crosses to show whether we've asked them to take further action or taken enforcement action against them. the service isn't performing as well as it should and we have told the service how it must improve. Multidisciplinary teams worked well together to provide the planned care. Staff completed annual physical health assessments for all patients and completed standard physical health checks. the service is performing exceptionally well. 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. Arthur; Trick, Kerith Lloyd Kinsey (1989), St. Andrew's Hospital Northampton: the first 150 years, 1838-1988, . Staff discussed current concerns and risk issues for all patients and agreed on actions required. Some staff and patients told us that they did not feel safe on the learning disability wards. Managers continued with the planned change despite training not being available, due to coronavirus restrictions, and the ward not being sufficiently resourced. We are looking at different ways to indicate the outcomes of our monitoring in the future. PBS care plans were available in paper form for staff to have easy access and in easy read for patients when needed, as well as on the electronic system. 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 overall rating for this service has improved to requires improvement. A new application for a registered manager was in progress at the time of the inspection. Billing Road, Northampton, Northamptonshire, NN1 5DG. People told us that staff tried their best to accommodate leave and took them out on group outings, but they did not always have sufficient staff to carry out some activities. Staff did not always feel respected, supported and valued on the long stay rehabilitation and learning disability and autism wards. However, we reviewed evidence that staff checked quality and temperature before serving food. There were times when patients were not well supported and cared for. He founded Wisden Cricket Monthly and edited it from 1979 to 1996. Physical healthcare services included dentistry and podiatry. 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. bayley ward st andrews northamptonlaconia daily sun obituaries. 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. The providers governance processes had not addressed staff failures to follow the providers procedures. Not all seclusion rooms considered the privacy and dignity of patients. Staff attended regular team meetings and recorded any actions and outcomes from these. However, monitors were visible to staff from the office and to patients on entering or leaving the adjacent low stimulus room. Staff had not followed the dysphagia care plan for one patient on Sitwell ward, which had resulted in a choking incident. 25 February 2014. In total we spoke with ten patients. Sitwell ward was not following St Andrews Seclusion policy with regard seclusion reviews with patients. Neurobehavioural Rapid Response -We have one male bed available today. 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. Each patient will be individually assessed by our dedicated team. we have taken enforcement action. 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. . The provider reported that the frequency of incidents had reduced following our inspection visits. 16 September 2016, Published 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. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. 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. People and those important to them, including advocates, were actively involved in planning their care. Staff reported incidents accurately and in line with the providers policy. 3. This was raised on numerous occasions in community meetings with no evidence of any action taken. NN1 5DG. 24/7 admissions service with decision within an hour of a referral. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. They understood and responded to their individual needs. Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. The ward manager told us that they had block booked agency staff for the next six weeks, to improve consistency in care andthey werebooking more staff than required. This meant staff may not be clear what behaviour was expected in certain situation. This meant that staff were not working to the most recent guidelines. One patient told us they really enjoyed being involved in the community meetings and looked forward to them. Most wards were safe, visibly clean, homely and well furnished. Our rating of this location improved. 258. Sunley ward was not clean, bed linen was stained and smelly, and dirty linen was stored with clean linen. 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. Nick Readett-Bayley, graduate of the Bartlett School of Architecture, established BayleyWard in early 2013 having arrived in Australia in 2010. 93%OFF 10OFF BOV2203AP ZETT cannabistrax.com We found gaps in hourly observation records on 193 out of a possible 1,008 occasions. In adolescent services, one seclusion room had a faulty two-way intercom system. 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. Our PICUs offer a short period of rapid assessment, intensive treatment and stabilisation for people with acute phases of mental illness who are in need of emergency psychiatric care. Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. Suspended ratings are being reviewed by us and will be published soon. (01604) 616000, Provided and run by: Managers ensured that staff had relevant training, regular supervision and appraisal. Staff made prompt referrals for any further specialist physical healthcare input. Managers ensured that these staff received training, supervision and appraisal. Staff provided a range of care and treatment in line with best practice and national guidance (from relevant bodies e.g. On Seacole ward, the furniture in the night lounge was torn and dirty. We received the requested assurance. Church ward is a low secure inpatient ward that can accommodate up to 10 children and adolescent males with neuro-disability / autistic spectrum disorder. On Oak ward, we found water stains in bathrooms and showers where water had been left to dry, because the drainage was not sufficient enough to allow the water to flow away. In addition, at this inspection, we identified breaches in regulation 10, 12, 15, 17 and 18 but are related to different issues from the last inspection in 2021. A multidisciplinary team worked well together to provide the planned care. Staff on the forensic wards did not always follow infection control procedures. Two patients told us that their escorted leave had been cancelled. Agency staff did not have access to all of the systems, adding additional responsibilities onto the permanent staff. John Reader 09 Jan 1822 Terrington St Clement, Norfolk, England - 08 Feb 1899 managed by James LaLone . A mental health hospital in Northampton has been stopped from admitting new patients on some of its wards following a damning CQC report. There was a shower curtain on some, but not all showers. ACUTE-There are currently no Acute Male beds available. Some documents were saved on a shared drive rather than in the electronic system. Independent advocacy services were available to all patients. We looked at the Mental Health Act paperwork for patients and found it to be accurate and complete in all sections. Managers had not ensured established optimum staffing levels on all shifts. Occupational health services and a trauma nurse supported staff physical and emotional health needs. We found examples of poor record keeping of handovers. Staff administered backslaps and dislodged the food. With the exception of rehabilitation, adolescent and forensic services, staff monitored the physical health of patients regularly and developed physical health goals and treatment for patients. Staff did not complete peoples enhanced and general observations in accordance with the provider policy and we found numerous gaps in the observations records. This service was placed in special measures on 10 June 2020. Staff in the forensic service did not always complete handovers in line with the providers policy and procedures. There were regularly high numbers of bank and agency staff used across these wards. Heygate ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning disabilities / autistic spectrum disorder. Patients could personalise their bedrooms and had lockable spaces to secure possessions. 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. Carers reported issues with communication and gave examples of having to battle to be listened to and be involved. Peoples care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. Staff were caring and keen to do the best for the patients. 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 always complete observations in line with patient care plans and the providers policy and procedures. Heritage ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent females with complex mental health needs. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Staff in forensic services did not always document fully what patients had been offered or received. On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. Requires improvement Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. Fairbairn Ward management informed us the electronic system did not allow them to specify staff trained in British Sign Language. St. James End tambm conhecido simplesmente como St. James e historicamente St James's End (ou localmente 'Jimmy's End') um distrito a oeste do centro da cidade em Northampton, Inglaterra.A rea desenvolveu-se de meados ao final do sculo 19, especialmente com a expanso da indstria de fabricao de calados e engenharia, e tambm com a extenso da ferrovia de Londres em junho de .