Staff supported one patient sensitively on the anniversary of a traumatic life event. 10 February 2015. 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. The provider had plans to improve this, but these had not yet commenced. One carer told us at the moment its great, the social worker is fantastic, and that there were regular updates from staff. About Us. Each ward had a book dedicated to learning from incidents and complaints generated across the hospital site. People had a choice about their living environment and were able to personalise their rooms. Some staff and patients told us that they did not feel safe on the learning disability wards. Staff did not always complete observations in line with patient care plans and the providers policy and procedures. 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. However, one carer told us that there had been problems with communication, adding that no one had sought the families opinion. On Seacole ward there were issues with controlling temperatures on the ward. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published the service is performing well and meeting our expectations. The provider reported that 12% of shifts were unfilled between 01 February 2019 and 31 January 2020. The new ward manager and operational lead had recently started in their posts. Three patients told us that the ward had several bank staff. Church ward is a low secure inpatient ward that can accommodate up to 10 children and adolescent males with neuro-disability / autistic spectrum disorder. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. The overall rating for this service has improved to requires improvement. Staff knew and understood people well and were responsive. Patients had good access to physical healthcare when needed. 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. At the time of the inspection, the provider had applied to change its registration with the Care Quality Commission to one location instead of multiple registrations across one site. There was a dashboard for monitoring ward performance, quality and safety against agreed targets. the service isn't performing as well as it should and we have told the service how it must improve. We found gaps in hourly observation records on 193 out of a possible 1,008 occasions. Staff had completed person centred and holistic care plans for 20 patients reviewed. One patient told us that the staff we have are amazing. We found that the CAMHS service had a number of extra care beds, these were generally patients segregated from the main ward area and cared for in isolation. All patient bedrooms had ensuite facilities. The provider recently introduced daily safety huddles involving the whole staff team. Staff managed known risks with nursing observations and individual risk assessments. Last year it said improvements . BayleyWard holds the following certifications: ISO 9001:2015 / ISO 45001:2018 / ISO 14001:2015. . Peoples risks were assessed regularly and managed safely. Not all staff had completed training in the Mental Health Act (MHA) or the Mental Capacity Act (MCA). Our Carers Centre can be contacted on. If you have used our PICU services,please let us know your views, opinions, thoughts or ideas to help us continuously improve. 30 October 2018, Published Irene was a home-maker. People with physical health issues such as epilepsy, did not have appropriate care plans to manage bathing. the service is performing well and meeting our expectations. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. Adolescent service St Andrews Healthcare Northampton Services we looked at: Wards for people with learning disability or autism Adolesc ent ser vic e St Andr ws He althc ar . St. Andrew's Hospital, Northampton: The First 150 Years (1838-1988) It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. Staff did not manage risks to patients and themselves well. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding This meant people received compassionate and empowering care that was tailored to their needs. Staff at the forensic and learning disability services misgendered patients. 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. There were no formally reported cases of bullying or harassment when we visited the service. A patient is assessed as posing a significant risk of harm to others or extreme aggression towards property, Internally directed aggression. There were weekly manager and matron meetings to review issues, monthly quality and safety meetings, which included the managers, clinicians and compliance manager. there are some services which we cant rate, while some might be under appeal from the provider. Staffing levels at the time of the incidents were recorded in each report. 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 A physical healthcare team, based on site, were available during the week to offer support with patients physical healthcare needs. Patients on the PICU did not have access to a lockable space in their bedrooms and they did not always have their room key. Nursing and support staff we spoke with in the CAMHS services did not have any understanding of positive behaviour support. 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 told us that they dreaded coming into work and felt professionally vulnerable. We also found that risk assessments and Care plans around this restraint were not always in place. 220: . There was insufficient medical cover for overnight on call and emergencies. The ward was not resourced with equipment required to support patients with an eating disorder. Patients were at risk of not receiving effective care and treatment. Qualified Psychologist - Learning Disability & ASD In the psychiatric intensive care unit (PICU) some bedrooms, bathroom and shower areas were dirty and carpets were not clean. However, monitors were visible to staff from the office and to patients on entering or leaving the adjacent low stimulus room. The service does not have a registered manager in post but does have a nominated individual as required, and a controlled drugs accountable officer. 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. Let's make care better together. The location was rated as inadequate overall and placed into special measures. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. Telephone: 01604 614584. Managers on the learning disability wards and forensic wards did not make sure staff received specialist training for their role. On most wards, staff updated patients risk assessments regularly and included patients individual needs. 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. There were ligature points in the psychiatric intensive care unit and the provider did not ensure all patients risk assessments and care plans included the management of specific environmental ligature risks. However, some areas of the hospital, in particular the bathrooms and one seclusion room, required further work to meet these standards. He founded Wisden Cricket Monthly and edited it from 1979 to 1996. Here are some brief highlights of Dr. Richard Bayley's life: 1745 - Richard Bayley is Born in Fairfield CT. 1765 - 1769 - studied medicine under Dr. John Charlton, son of Reverend Richard Charlton, rector of St. Andrew's Episcopal church, Staten Island. Our rating of this location improved. Across all services, the provider was challenged to ensure staffing numbers met the needs of patients and we found in some cases, patient activities had been cancelled or postponed. Forensic inpatient or secure wards have remained as an overall rating of inadequate. 258. One patient felt the unit was the safest place ever, and staff were always available when needed but were always busy. Care records confirmed that the room was used regularly and recently. There remain issues around mixed gender accommodation on some older adults wards. No rating/under appeal/rating suspended Staff were unclear about the definitions and terminology relating to de-escalation, restraint, seclusion, segregation and extra care. Mental capacity assessments were not decision specific. Staff at the forensic service used derogatory and inappropriate language to describe patients. the service isn't performing as well as it should and we have told the service how it must improve. Suspended ratings are being reviewed by us and will be published soon. We would like to show you a description here but the site won't allow us. Staff did not always keep patients safe from harm whilst on enhanced observations. We believe there's nowhere better to start your career than St Andrew's Healthcare. 16 September 2016. All patients we spoke to stated that they had been involved in the development of both their care and behavioural support plans. The providers board had not authorised the use of mechanical restraint, in line with guidance, and staff had not followed care plans in relation to the reporting and monitoring of mechanical restraint. This meant staff could not find the most up to date plan of how to care for people using the service. Staff Nurse- Deaf ServiceLocation: NorthamptonFull time - 37.5 hoursSalary: 29,062-29,884 depending on experience and preceptorship status + enhancements. there are some services which we cant rate, while some might be under appeal from the provider. There were not always enough staff to safely carry out physical interventions and provide the required level of patient observations on Sunley ward. Two services did not make timely repairs to the environment when issues were raised. 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. the service isn't performing as well as it should and we have told the service how it must improve. Care focused on peoples quality of life and followed best practice. In older adults services the provider did not always reduce the risk from blind spots. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. Patients and carers reported that managers were dismissive of concerns raised. Staff were trained in the Mental Capacity Act and the Deprivation of Liberties Safeguards (DoLS). Acute and Psychiatric Intensive Care Units. Inspection Report published 25 February 2014 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published We will publish a report when our review is complete. Staff were not completing risk assessments on Elgar ward, with information being copied between records for different patients. 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. The provider told us they shared learning from incidents via alerts sent by email. We are looking at different ways to indicate the outcomes of our monitoring in the future. There did not appear to be an opportunity for patients to appeal against decisions made about their risk levels, or clear individual behaviour markers and goals for changes in levels. This meant that due to staff redeployment to work on other wards the arrangements in place to ensure people were supported by appropriately qualified and skilled staff were not being effectively managed. 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. 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. Staff communicated with people in ways that met their needs. Staff had not completed the Elgar ward ligature risk assessment. Staff had not always followed the providers policies and procedures when they needed to search patients or their bedrooms to keep them safe from harm. Staff did not learn from cleanliness audits. Staff developed recovery-oriented care plans informed by a comprehensive assessment. 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. New admissions will need to isolate and complete a lateral flow test. We found gaps in observation records. Irene was also a member of the Sweetbriar Garden Club and British Wife's. the service isn't performing as well as it should and we have told the service how it must improve. Staff received training in safeguarding and made appropriate referrals. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. Our rating of this location improved. Managers had not ensured established optimum staffing levels on all shifts. Click hereto share your feedback. Staff did not manage patient risks effectively. Psychiatric intensive care unit, we spoke to four patients. Provided and run by: St Andrew's Healthcare. There were meeting three times in a 24-hour period to review staffing across all wards. 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. the service is performing well and meeting our expectations. As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. Staff provided a range of activities for patients and activities were available seven days a week. Staff promoted equality and diversity in their support for people. Pleaseclick herefor more information andspecific contact details. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. This was particularly high for registered nurses. 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. 5 October 2022. Not all wards had a seclusion facility available for use. 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 neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. This was raised on numerous occasions in community meetings with no evidence of any action taken. We rated it as requires improvement because: In Peoples quality of life was enhanced by the services culture of improvement and inclusivity. Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. This is not in line with the providers policy and does not adhere to guidelines by the National Institute for Health and Care Excellence (NG10). the service is performing exceptionally well. One ward team did not have access to a specialist dietician, which was required to meet the needs of patients. Staff did not always treat patients with kindness, dignity and respect. Published 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. 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 There were times when patients were not well supported and cared for. During our visit, we witnessed several occasions where staff responded to patients distress and they did so discreetly and appeared to be always mindful of the patients dignity.