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. Staff had not followed the dysphagia care plan for one patient on Sitwell ward, which had resulted in a choking incident. Staff reported incidents accurately and in line with the providers policy. Safe was rated as inadequate, effective rated requires improvement, caring rated inadequate, responsive rated requires improvement and well led rated as inadequate. Staff told us morale was increasing following a period of change over the last two years and told us their managers were supportive. The PICU ward was affiliated to the National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU). Staff on forensic inpatient or secure wards did not always undertake and record physical health observations following rapid tranquilisation. The managers told us, and we saw the documents to show, they were offering an Aspire campaign, which supported healthcare support workers to undertake their nurse training. 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. National Institute for Health and Care Excellence (NICE)).Examples included National Institute for Health and Care Excellence (NICE) guidance on personality disorder, assessment and treatment, Antisocial personality disorder: prevention and management and self-harm: assessment, management and preventing recurrence. Billing Road, Northampton, Northamptonshire, NN1 5DG. Daily checks of the ligature cutters were not always completed. Fenwick ward is a low secure inpatient ward that can accommodate up to 10 children and adolescents females with neuro-disability / autistic spectrum disorder. 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. The service did not have enough nursing and support staff to keep patients safe at all core services. We reviewed incidents where staff had not provided physical health interventions as required and staff did not always record patients physical health or nutritional needs. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. 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. Some staff used the Mental Capacity Act to assess capacity for individual decisions. Doctors and nurses did not complete records for all of the reviews as required by the Mental Health Act code of practice. any actions the Charity Commission has taken against the charity. bayley ward st andrews northampton. Those that did have care plans on Bradlaugh found that it was not in accessible format. PICU- Going into the weekend we have 2 beds available on our Male PICU in Essex, there is currently no access to seclusion on this ward. 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. There was a shower curtain on some, but not all showers. Physical healthcare services included dentistry and podiatry. The clinic rooms were fully equipped and resuscitation equipment was checked regularly and recorded however not all wards had equipment. We rated it as requires improvement because: Published Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. Requires improvement Staff were not completing risk assessments on Elgar ward, with information being copied between records for different patients. We received mixed comments from the patients that we spoke with over our two day visit. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. Staff did not learn from cleanliness audits. the service is performing exceptionally well. [1] After the election, the composition of the council was: Liberal Democrat 34. They minimised the use of restrictive practices and followed good practice with respect to safeguarding. 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. Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition. He founded Wisden Cricket Monthly and edited it from 1979 to 1996. 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. 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. The new ward manager and operational lead had recently started in their posts. There was no evidence that the provider undertook regular and effective audits of these issues. Emma Bayley Mary Ann Baylis 1852 Redditch, Worcestershire, England George Bayliss 1863 Sheffield, Yorkshire, England . People were supported to be independent and their human rights were upheld. 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. Seclusion rooms are available across our Neuro services where required. Staff told us and plans showed that restraint was used as a last resort and staff tried to de-escalate and divert patients who were becoming distressed or agitated. The service was on a hospital site with other mental health services and was designed to provide a service to 24 people over three wards. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. The ward environments were safe and clean. We will publish a report when our review is complete. 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. Senior staff monitored incidents and discussed outcomes in team meetings. On most wards, staff updated patients risk assessments regularly and included patients individual needs. In two services, care plans did not always reflect how to manage patients with physical health issues. Staff told us that rapid tranquillisation medication was administered most days. We rated St Andrews Healthcare Womens service as inadequate because: Published This meant senior staff could move staff to where need indicated it was higher on some wards. They understood peoples cultural needs and provided culturally appropriate care. 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). 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). There was a monthly lessons learnt bulletin for staff. People and those important to them, including advocates, were actively involved in planning their care. 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. Patients had access to independent mental health advocacy. 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. One third of the council was up for election and the Liberal Democrats stayed in overall control of the council. Let's make care better together. There had been an overall decline in the use of agency staff over the preceding 12 months. The seclusion room on Church ward did not have shower facilities. The provider had removed 26 blanket restrictions following our last inspection. 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. Staff promoted equality and diversity in their support for people. A relative we spoke with told us the team on the ward liaised well with her relatives professional team in their home area to ensure the care was effective and were accurately informed of their progress. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. It often occurred that staff were trained up to a level to work with patients, then moved to work on other wards. In response to a compliance action issued following our last inspection in November 2012, the provider demonstrated they were actively recruiting staff. 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, including: Once risk is reduced and the patients mental state and behaviour has been stabilised, transfer to an appropriate facility will take place we focus on moving individuals on to these services and back in to less secure or community setting as soon as possible. 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. 1998-2011 Richard Tanner (from All Saints' Church, Northampton) 2011-2019 Samuel Hudson; 2019- John Robinson; Organist in . The provider had ongoing recruitment and retention programmes to attract new staff. Hotel and Leisure. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. 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 found gaps in observation records. And are detained under the Mental Health Act 1983. Forensic inpatient and secure wards: all patients told us that they had received advice regarding their medications. 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 had their communication needs met and information was shared in a way that could be understood. Staff had quick access to ligature cutters and pocket masks (for use in mouth to mouth resuscitation) in different areas of the wards. 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. Staff supported one patient sensitively on the anniversary of a traumatic life event. Suspended ratings are being reviewed by us and will be published soon. 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. Patients on the PICU did not have access to a lockable space in their bedrooms and they did not always have their room key. The provider had improved governance systems and carried out recruitment drives to attract staff. Staff did not complete peoples enhanced and general observations in accordance with the provider policy and we found numerous gaps in the observations records. Type of organisation Voluntary Sector Service Descripton of organisation In patient Out patient Residential miles (straight line) miles (approximate road distance) Entry last updated Staff managed known risks with nursing observations and individual risk assessments. We found that each patient had a daily schedule of therapeutic activities. They were respectful in their approach. 25 February 2014. Teams held regular and effective multidisciplinary meetings. We don't rate every type of service. Published 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. Staff did not always feel respected, supported and valued on the long stay rehabilitation and learning disability and autism wards. We spoke with staff and people using the service and the ward managers for the three wards visited. Our Carers Centre can be contacted on. Staff at the longstay rehabilitation service did not always uphold patients dignity in relation to medication and care. About Us. One ward team did not have access to a specialist dietician, which was required to meet the needs of patients. Long stay / rehabilitation wards for working age adults: Wards for people with learning disabilities or autism: Wards for people with a learning disability or autism: people said that they felt well supported by kind, caring and engaged staff who were interested in their well-being and did their best to provide them with the support they needed. One patient told us they really enjoyed being involved in the community meetings and looked forward to them. Staff did not always record details of restraint techniques used. Leaders did not always understand the issues, priorities and challenges the forensic and long stay rehabilitation services faced. There were gaps in records where staff had not signed the entries. 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. We found staff did not always safely manage medicines and act on audit results on three services we inspected. Staff did not always keep patients safe from avoidable harm whilst on enhanced observations on the forensic wards and on the psychiatric intensive care unit. the service is performing exceptionally well. She was born March 2, 1927 in Toronto, Ontario Canada, the daughter of William and Lena (Flowers) Page. Regulation 12 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safe care and treatment. 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. Mental capacity assessments were not decision specific. Recommendations from external bodies were not always taken on board and these decisions were not always justified. One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. entry of bacteriophages and animal viruses into host cells. A physical healthcare team, based on site, were available during the week to offer support with patients physical healthcare needs. Willow ward, a 10-bed medium blended secure service for women. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. Patients admitted to the PICU should exhibit mental state or clinical behaviour which seriously compromises their physical or psychological well-being, or that of others, and which cannot be safely assessed or treated in a general adult ward, Externally directed aggression. The management team was in the process of reforming the culture on this ward. Staff on the forensic wards did not always follow infection control procedures. People received kind and compassionate care. The teams included or had access to the full range of specialists required to meet the needs of patients on the ward. Staff were unclear about the definitions and terminology relating to de-escalation, restraint, seclusion, segregation and extra care. The average price for a property in St Andrew's Road, Northampton, Northamptonshire, NN2 is 155,000 over the last year. The service had appropriately skilled staff to keep them safe. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing impaired (profound, severe, partial or hard of hearing . Provided and run by: St Andrew's Healthcare. We believe there's nowhere better to start your career than St Andrew's Healthcare. 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. 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 The policy around such practice was ambiguous and this was confirmed by the records we viewed. Frith has written dozens of books on both cricket in modern times and cricket of the past, mainly focussing on Ashes Test Match history. 1769, January 9 - married Catherine Charlton (Sister of Dr. John Charlton) in St . 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 told the provider that they must provide CQC with an update relating to these issues on a fortnightly basis. 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. Managers ensured that these staff received training, supervision and appraisal. Wards had examples of restrictive practices such as kitchens being locked and reliant on staff for hot drinks on Berkley close. We found that in the CAMHS service prone restraint was still being used when retraining young people. This equated to a fill rate of 89% against the provider target of 90%. Heritage ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent females with complex mental health needs. However, Naseby in Northampton may be able to admit over the weekend, please contact the ward directly on the number below for an update. Managers did not always support staff with appraisals, supervision and opportunities to update and further develop their skills on the forensic and long stay rehabilitation wards. Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. A range of psychological therapies recommended by the national institute for health and care excellence was available for patients. The wards did not have adequate psychology and occupational therapy provision for people on the wards. 3. Our rating of this location stayed the same. The staffing on each of the wards did not meet the recommended establishment levels, this led to some peoples Section 17 leave being postponed or cancelled. Whichhem. The 1999 Winchester City Council election took place on 6 May 1999 to elect members of Winchester District Council in Hampshire, England. 13: . The provider had plans to improve this, but these had not yet commenced. New admissions will need to isolate and complete a lateral flow test. Independent advocacy services were available to all patients. Staff were trained in the Mental Capacity Act and the Deprivation of Liberties Safeguards (DoLS). Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published However, a significant number of shifts remained unfilled. Staff did not complete care plans for all identified risks. 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 This is an organisation which is involved in promoting and developing work within the PICU settings. People were supported by staff to pursue their interests.