There were robust systems in place for reporting and investigating incidents and complaints. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. Your information helps us decide when, where and what to inspect. People were supported by staff to pursue their interests. Leaders had delivered a project to address poor culture found at the last inspection. List of musicians at English cathedrals - Wikipedia 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. Supervision was highlighted as an issue in learning disabilities, older adults and rehabilitation services. the service is performing exceptionally well. 20 September 2013. Managers did not share learning from incidents with their teams in the forensic and learning disabilities services. Staff had not met all patients physical health needs. Managers and staff worked extra shifts to support the wards, which showed resilience and commitment toward delivering patient care. Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. Bayley PICU St Andrew's Healthcare Staff did not read patients their rights under section 132 of the Mental Health Act in some wards. There were not always enough staff to safely carry out physical interventions and provide the required level of patient observations on Sunley ward. Patients were given leave to attend church for private prayers. People and those important to them, including advocates, were actively involved in planning their care. We rated it as inadequate because: Following our inspection we took urgent action because of immediate concerns we had about the safety of patients on the forensic, long stay rehabilitation and learning disability and autism wards. Environments on wards for people with a learning disability or autism wards were not always maintained due to untimely responses to complete repairs and manage estates issues. There were appropriate systems for managing and recording complaints. Bayley ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning+ disabilities / autistic spectrum disorder. During our visit we saw some patients engaged in their daily activities, such as participating in current affairs sessions and playing board games with other patients and staff. Inspection Report published 25 February 2014 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Insufficient improvements have been made such that there remains a rating of inadequate for any core service, key question or overall. Staffing numbers did not meet establishment levels. Updated 1st Jul 2021, 10:14am A former St Andrew's Healthcare carer who kissed a 'vulnerable' mental health patient five times was spared jail at Northampton Crown Court yesterday (Wednesday,. A freedom of information request, revealed, the CQC, apparently, indicating, they were not prepared, to investigate the deaths at St Andrews, "CQC was aware of the service's own reviews . BayleyWard is an award winning Architecture, Interior Design and Urban Design studio. (01604) 616000, Provided and run by: Admission will be based on an individual needs assessment and in some cases patients may be admitted directly to a PICU. 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. There had been an incident one weekend where there were no nasogastric trained staff available to administer the nasogastric feeds to a patient requiring this intervention. Staff did not always respect patients privacy and dignity on the forensic and long stay rehabilitation wards. ACUTE-There are currently no Acute Male beds available. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. 3. Staff supported people to make decisions following best practice in decision-making. 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 service is performing badly and we've taken enforcement action against the provider of the service. The provider had an induction programme for new staff and was supportive of further learning opportunities for all permanent staff. This posed a risk to staff and patients if staff were following two different approaches. Hotel and Leisure. bayley ward st andrews northampton - meritageclaremont.com People and those important to them, including advocates, were actively involved in planning their care. Recommendations from external bodies were not always taken on board and these decisions were not always justified. Staff took part in a range of clinical audits, benchmarking and quality improvement initiatives. Harper specialist ward for male and female patients with Huntingdons disease. Since its establishment in 2012, we have grown to a team of more than 20 architects, interior designers and urban designers working collaboratively with stakeholders to deliver excellence at every level. 1769, January 9 - married Catherine Charlton (Sister of Dr. John Charlton) in St . This testing will be done from day 5. Leadership had been strengthened and new ways of working implemented to improve the patient experience. Patients had access to independent mental health advocacy. Leadership development opportunities were available. People and those important to them, including advocates, were actively involved in planning their care. Managers did not ensure staff had the right skills, knowledge and experience to meet the needs of patients with a diagnosed eating disorder. We saw leadership at ward manager level. 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. NN1 5DG. Welcome to St Andrew's Therapy Northampton Our therapy clinic in Northampton offers specialist mental health assessments, diagnosis, counselling and talking therapy services. There was a high use of regular bank staff and agency staff. There remain issues around mixed gender accommodation on some older adults wards. Newly Qualified / Student Nurse Opportunities within our Deaf Service Staff arrived late to handovers. She was a member of the former St. Andrews Episcopal Church where she was very active, including being a member of the choir and the Altar Guild. One patient was not involved in their care plan. 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. We found gaps in observation records. We found ligature risk and environment audits were undertaken every six months We saw that some ligature risks had been identified and there were contingency plans in place to manage these. the service isn't performing as well as it should and we have told the service how it must improve. 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 did not always keep patients safe from harm whilst on enhanced observations. Let's make care better together. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. Boardman ward is a low secure inpatient ward that can accommodate up to 11 children and adolescent females with complex mental health needs. Staff ensured most patients needs were assessed and met within care plans. Staff had not completed seclusion and long-term segregation care plans for all patients. We could detect a strong smell of urine in some bedrooms. 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. Two patients told us that they felt the service had aided their recovery more than any other and that staff that staff were generally kind, caring and took the least restrictive approach. Patients were at risk of not receiving effective care and treatment. ForumIAS Mains Open Simulator X We received the requested assurance. Some staff did not demonstrate understanding about appropriate use of seclusion facilities in the learning disability services. Multidisciplinary teams worked well together to provide the planned care. Good However, the provider does have various avenues through which staff can raise grievances and concerns. Staff had not received the necessary specialist training for their roles on Sunley ward. Bayley Ward provides short periods of rapid assessment, intensive treatment and stabilisation for patients, before or during, a longer period of inpatient care. The service did not have enough nursing and support staff to keep patients safe. 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. We heard on rare occasions the transport was unavailable leaving both the staff and patient at risk. 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.