Some rooms had sensory equipment that was available for people to use. We reviewed 26 incidents that occurred between 1 November 2019 and 3 February 2020. Northampton, Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. Regulation 17 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Good governance. The provider had high vacancy rates in forensic, neuropsychiatry, older adults and rehabilitation services. the service is performing exceptionally well. On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. the service is performing exceptionally well. One third of the council was up for election and the Liberal Democrats stayed in overall control of the council. Managers did not ensure established staffing levels on all shifts. The provider reported that 12% of shifts were unfilled between 01 February 2019 and 31 January 2020. This was raised on numerous occasions in community meetings with no evidence of any action taken. The ward was not resourced with equipment required to support patients with an eating disorder. . Northampton, The providers governance processes had not addressed staff failures to follow the providers procedures. Bayley Ward (VIC) Pty Ltd. BayleyWard VIC (Head Office) 21-23 Chessell St Southbank VIC 3006. Patients held their own mobile phones wherever possible and had private access to a landline telephone that had direct lines to advocacy and other services. BayleyWard is an award winning Architecture, Interior Design and Urban Design studio. Six out of nine patients said they had been involved in their care planning. Staff completing extended periods of enhanced observations may be less likely to maintain the levels of concentration required to maintain patient safety. 13 February 2012. 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. She was born March 2, 1927 in Toronto, Ontario Canada, the daughter of William and Lena (Flowers) Page. Two patients told us that their families did not live locally and they were not happy because their families were unable to visit on a regular basis. 16 September 2016. The wards did not have adequate psychology and occupational therapy provision for people on the wards. Staffing numbers did not meet establishment levels. Suspended ratings are being reviewed by us and will be published soon. The emphasis is on short-term intensive treatment with regular reviews of progress. All medication included on the ward from admission. Senior leaders were visible across the location and were approachable for patients and staff. Staff engaged in clinical audit to evaluate the quality of care they provided. We're a specialist charity that invests in innovative, patient-centric, holistic care. We are looking at different ways to indicate the outcomes of our monitoring in the future. 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. Staff developed recovery-oriented care plans informed by a comprehensive assessment. In adolescent services, one seclusion room had a faulty two-way intercom system. Following our inspection, we served an urgent Notice of Decision because of the immediate concerns we had about the safety of patients. Managers said they felt supported and staff said they felt valued. Staff did not manage patient risks effectively. John Reader 09 Jan 1822 Terrington St Clement, Norfolk, England - 08 Feb 1899 managed by James LaLone . the service is performing badly and we've taken enforcement action against the provider of the service. We rated it as inadequate because: OConnell ward is a locked ward for male older adults. As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. Telephone: 01604 614584. Oak ward, a 10-bed medium secure service for women with learning disabilities and/or autistic spectrum conditions, Church ward, a 10-bed low secure service for women with learning disabilities and/or autistic spectrum conditions. Staff told us that the chief executive officer visited regularly. Governance processes did not always ensure that ward procedures ran smoothly. There's no need for the service to take further action. at Northampton are the Adolescents services, men's services, women's services and acquired brain injury . Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. The seclusion room on Church ward did not have shower facilities. Patients could personalise their bedrooms and had lockable spaces to secure possessions. We found examples of poor record keeping of handovers. 5 October 2022. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. Treatment of disease, disorder or injury. Two carers told us that the social worker was helpful and another two told us their relative was in the right place for the care and treatment they needed. Staff did not provide a range of care and treatment options suitable for this patient group. 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. Home; About Us. The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative. Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. Staff were not always updating patient risk assessments and care plans at the psychiatric intensive care and long stay rehabilitation wards. Family and friends telephone line: 01604 614570. Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. We found staff did not always safely manage medicines and act on audit results on three services we inspected. On PICU, forensic, rehabilitation and older adults wards staff had not uploaded the MHA legal detention papers in full to the electronic system. Regulation 18 CQC (Registration) Regulations 2009 Notification of other incidents. 2. Compton is a locked ward for male and female older adult patients. Staffing was below the establishment number for five incidents reviewed. 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. Since 1 February 2019, the Bayley PICU have been trialling body ward cameras on nurses. Staff used closed circuit television (CCTV) to monitor patients. the service is performing well and meeting our expectations. Staff at the forensic and learning disability services misgendered patients. Some staff did not know how to access peoples care records on the electronic records system. 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. we have taken enforcement action. Managers were visible on the wards and staff felt supported by operational managers and clinical nurse leads. Managers had not notified CQC about seven out of eight safeguarding incidents and had not referred one to the local authority safeguarding team. 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. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Leaders at the long stay rehabilitation services did not have the skills, knowledge and experience to perform their roles. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. 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. Seacole ward had outstanding maintenance issues. Staff received training in safeguarding and made appropriate referrals. You can also Whatsapp /Call him at 9311740424 It has defined its key patient outcomes to be rapid stabilisation, crisis resolution, risk-reduction, prevention of relapse and promotion of recovery. All patients we spoke to stated that they had been involved in the development of both their care and behavioural support plans. 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. 2. Nine out of fourteen self harm incidents reviewed occurred due to staff not completing enhanced observations as prescribed. 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. Staff developed a comprehensive care and personal behavioural plan for each patient that met their mental and physical health needs. People and those important to them, including advocates, were involved in planning their care. Staff received and kept up to date with training on the Mental Health Act and the Mental Health Capacity Act. 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. W K irVJL^ l^l-V-rK^f-VJL/0 THE HI.STC:..- VITAL RECORDS :;DWiyl513^nOM ^ OF MANCHESTER \ Li::..A MASSACHUSETTS TO THE END OF THE YEAR I 849 PUBLISHED BY THE ESSEX INSTITUTE We found issues with inappropriate storage of medicines, staff not labelling opened medications, patient allergy information and a significant medication error. Patients told us there were limited food options, especially if vegetarian. Staff told us morale was increasing following a period of change over the last two years and told us their managers were supportive. Patients were involved with their care plans, had good access to physical healthcare and had access to activities organised by the Occupational therapist. John Clare ward is a low secure inpatient ward that can accommodate up to nine children and adolescent females with complex mental health needs. Chief Inspector of Hospitals. the service isn't performing as well as it should and we have told the service how it must improve. Staffing levels at the time of the incidents were recorded in each report. Monday to Friday 9am to 6pm 03 9695 0222 info@bayleyward.com ABN 32 162 916 467. Three patients told us that their planned activities had been cancelled. The provider as part of a national pilot, had developed a new clinical model (co-produced with staff and patients), which was a blended approach including low and medium security. Church ward is a low secure inpatient ward that can accommodate up to 10 children and adolescent males with neuro-disability / autistic spectrum disorder. 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. 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 Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. 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. This meant people received compassionate and empowering care that was tailored to their needs. 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. Patients were given leave to attend church for private prayers. Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. However, we reviewed evidence that staff checked quality and temperature before serving food. We were told that ward community meetings took place and we saw records of the meetings were kept. Seven officers were called to deal with a disturbance at a Northampton hospital unit. There was a high use of regular bank staff and agency staff. Inadequate The provider invested in a programme of support to promote staff well-being. Irene was a home-maker. 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. Daily checks of the ligature cutters were not always completed. We found that the space on the older adults wards was a challenge to make feel homely, however we saw they had utilised the ends of corridors to create small areas of interest. Patients and carers reported that managers were dismissive of concerns raised. The multi-disciplinary team had not conducted reviews as required. Emma Bayley Mary Ann Baylis 1852 Redditch, Worcestershire, England George Bayliss 1863 Sheffield, Yorkshire, England . To make a PICU enquiry or discuss a referral please contact our wards directly 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 at the longstay rehabilitation service did not always uphold patients dignity in relation to medication and care. Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. Senior managers told us the concerns that triggered the focused inspection were not a surprise and that Seacole was on their watchlist. We rated St Andrews Healthcare Womens service as inadequate because: Published The patients' comments were overwhelmingly positive with lots of activities in the unit particularly, pamper sessions where they could get their nails done and access foot spas. 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. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. Staff on the forensic wards did not always follow infection control procedures. 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. Staff had not always recorded in the patients clinical records, the rationale for seclusion, or the time that a period of seclusion had ended. Inadequate When reception staff were away from their desk, access to the building was delayed for patients. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. (01604) 616000, Provided and run by: Foster is a locked ward for male older adults. No rating/under appeal/rating suspended Staff were trained in the Mental Capacity Act and the Deprivation of Liberties Safeguards (DoLS). The last comprehensive inspection of this location was in July and August 2021. Two patients told us that their escorted leave had been cancelled. 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. We accept NHS or privately funded referrals across our assessment and therapy services. The largest UK medium secure service for deaf men aged between 18 and 65 years old. Staff managed known risks with nursing observations and individual risk assessments. We rated St Andrews Healthcare Northampton as requires improvement because: Published Patients had access to independent advocacy services. Patients regularly had their escorted leave, therapies or activities cancelled because of staff shortages. We found on Tavener ward that informal patients were asked to sign a contract for granted leave, which does not reflect the Mental Health Act. Managers ensured that these staff received training, supervision and appraisal. We carried out this inspection in response to concerning information received through our monitoring processes. Independent advocacy services were available to all patients. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published This meant senior staff could move staff to where need indicated it was higher on some wards. Some people were not happy about being on the ward because they were detained their under the Mental Health Act 1983. Staff did not always act to prevent or reduce risks to patients and staff. Staff on long stay rehabilitation wards did not always know what incidents to report and how to report them, however staff in the other services we inspected did know what to report and how. Staff did not always respect patients privacy and dignity on the forensic and long stay rehabilitation wards. 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 Seacole ward there were issues with controlling temperatures on the ward. Staff did not always feel respected, supported and valued on the long stay rehabilitation and learning disability and autism wards. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. Appraisal of performance was undertaken annually. The provider had plans to support 20 staff a year in this scheme. Staff could access emergency physical health care from the providers emergency response teams and the local general hospital to cover out of hours emergencies. One patient felt the unit was the safest place ever, and staff were always available when needed but were always busy. There were meeting three times in a 24-hour period to review staffing across all wards. Your information helps us decide when, where and what to inspect. Managers had recently recruited a new senior nurse and staff were returning from long term sick leave. 10 February 2015. Managers and medical staff told us that in recent months they had felt pressurised into accepting patients, who in their clinical opinion, were not suitable. Doctors and nurses did not complete records for all of the reviews as required by the Mental Health Act code of practice. Staff communicated with people in ways that met their needs. 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. Published The largest UK medium secure service for deaf men aged between 18 and 65 years old. If you have used our PICU services. . No rating/under appeal/rating suspended Browser Support People had a choice about their living environment and were able to personalise their rooms.
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