bayley ward st andrews northampton

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. We found that staff were not aware of learning from complaints, incidents and internal and external investigations. There were times when patients were not well supported and cared for. Care plans were comprehensive and holistic, and contained a full range of patients needs. Seacole ward had outstanding maintenance issues. Staff developed recovery-oriented care plans informed by a comprehensive assessment. Staff did not complete care plans for all identified risks. Staff did not always ensure that both paper and electronic medicine records were accurate, up to date and correctly identify how staff should give medicines to patients. Short term quarantining ensures the safety of all of our patients and staff. Posted by June 8, 2022 maine assistant attorney general salary on bayley ward st andrews northampton June 8, 2022 maine assistant attorney general salary on bayley ward st andrews northampton Staff made prompt referrals for any further specialist physical healthcare input. The majority of patients felt they were supported well by the staff team on the ward. News you can trust since 1931. . 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. Leaders did not always understand the issues, priorities and challenges the forensic and long stay rehabilitation services faced. Patients had good access to physical healthcare when needed. Overview Latest inspection summary Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. The shower areas upstairs did not provide comfort or promote dignity and privacy. Chinese Granite; Imported Granite; Chinese Marble; Imported Marble; China Slate & Sandstone; Quartz stone However, a significant number of shifts remained unfilled. Staff had not always followed the providers policy on patient observations in two services. Staff were caring and keen to do the best for the patients. Peoples care, treatment and support plans, reflected their sensory, cognitive and functioning needs. However, we reviewed evidence that staff checked quality and temperature before serving food. We know that being a relative, carer or friend of someone who has been admitted onto one of our crisis service wards can be worrying and stressful and our Carers team is hereto provide emotional support and help with issues such as health and money. 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. Inadequate Patients alleged that staff on Sunley ward used inappropriate restraint techniques. Some staff in the learning disability services told us that there was little engagement with senior managers or the organisations values and they did not feel able to engage with the wider organisational systems. The training department staff supported and trained staff to use other sites for injecting medication to reduce the need for any prone restraint to give medication. Senior leaders were visible across the location and were approachable for patients and staff. the service is performing badly and we've taken enforcement action against the provider of the service. Agency and bank staff did not have adequate information about individual patient care and any safeguarding protection plans on the wards where they are working. We found staff did not always safely manage medicines and act on audit results on three services we inspected. Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. Staff managed known risks with nursing observations and individual risk assessments. 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. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas. Staff undertook comprehensive assessments and developed care plans that were thorough, holistic and patient centred. 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. We found that the risk based safety system is being used to manage non risk behaviours such as non-engagement. One patient was pleased with the physical health doctor visit, however, was told by staff to use mouthwash but their preference was dental floss. 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. examples of figurative language in lamb to the slaughter fashioned biblical definition gonif yiddish definition border patrol hiring process forum 2020 tennessee tech . There were meeting three times in a 24-hour period to review staffing across all wards. 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. St Andrews Healthcare Womens location has been registered with the CQC since 11 April 2011. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Staff assessed and managed risk well. As a result, discharge was rarely delayed for other than a clinical reason. 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. Not every ward had a dedicated sensory room, but access to one in the same building. fruit), that there was a lack of healthy food options on the menus. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. We observed a senior member of staff dismiss a patient who asked to speak with them about safeguarding concerns. John Reader 09 Jan 1822 Terrington St Clement, Norfolk, England - 08 Feb 1899 managed by James LaLone . The therapeutic value of regular engagement with family and friends can be key to a persons recovery and thankfully we are now able to welcome family and carers back on site. There was no recorded evidence of staff and patients having an immediate debrief following an incident. Inspection Report published 25 February 2014 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Not all staff had completed training in the Mental Health Act (MHA) or the Mental Capacity Act (MCA). 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 PICU hospital director offered regular open clinical between 7pm and 9pm which were open for staff to attend. 24/7 admissions service with decision within an hour of a referral. Staff completed annual physical health assessments for all patients and completed standard physical health checks. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. NN1 5DG. On Seacole ward there were issues with controlling temperatures on the ward. the service is performing exceptionally well. Berkeley Lodge, 37 and 38 Berkeley Close and 19 The Avenue are locked units. When reception staff were away from their desk, access to the building was delayed for patients. A third carer told us that staff inform them of any issues, that staff keep them in the loop, and described the service was totally and utterly amazing. There remain issues around mixed gender accommodation on some older adults wards. Staff engaged in clinical audit to evaluate the quality of care they provided. A patient is assessed as posing a significant risk of suicide and the patient is unresponsive to preventative measures available, Absconding patients who are detained under the MHA 1983, for whom the consequences of persistent absconding are serious enough to warrant treatment in the PICU, Unpredictably patients, potentially posinga significant risk to self or others and requiring further assessment. 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. by | Jun 10, 2022 | how to charge a kangvape without a charger | when do live oaks drop their leaves in florida | Jun 10, 2022 | how to charge a kangvape without a charger | when do live oaks drop their leaves in florida 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. Billing Road, Northampton, Northamptonshire, NN1 5DG. 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). 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. 30 October 2018, Published Treatment of disease, disorder or injury. The provider had not addressed the issue identified in the June 2016 inspection whereby staff were trained in two types of managing aggression and restraint. Seclusion rooms are available across our Neuro services where required. 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 were concerned that staff were not reporting all safeguarding concerns to the local authority safeguarding team at the forensic and psychiatric intensive care services. . Staffing levels at the time of the incidents were recorded in each report. nira rodeo standings 2021 10, Jun, 2022. country mart warsaw, mo weekly ad; 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. Whichhem. Our rating of this location improved. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. The last comprehensive inspection of this location was in July and August 2021. there are some services which we cant rate, while some might be under appeal from the provider. We found gaps in hourly observation records on 193 out of a possible 1,008 occasions. the service is performing badly and we've taken enforcement action against the provider of the service. In the learning disability services there was not a clear and effective system for comprehensive handovers between nursing staff due to the set nursing shifts. There was a shower curtain on some, but not all showers. People received kind and compassionate care. Staff did not always share clear information about patients and any changes in their care. We will publish a report when our review is complete. The provider was not compliant with the Mental Health Act Code of Practice. Staff did not always demonstrate the values of the organisation when supporting patients. The management team was in the process of reforming the culture on this ward. 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 record or review seclusions appropriately when a person was secluded outside of the seclusion room, for example in their bedroom. This meant that staff were not working to the most recent guidelines. Not all groups of staff felt engaged with the developments and changes to the service. There were a number of locked doors, stairs and potentially an unpredictable patient group, which may impact how quickly the equipment arrived where it was needed. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. All medication included on the ward from admission. They actively involved patients and families and carers in care decisions. Managers had not ensured established optimum staffing levels on all shifts. A physical healthcare team, based on site, were available during the week to offer support with patients physical healthcare needs. Most patients did not have a copy of their care plan or knew what their goals were. Community meetings were held weekly services where patients could raise issues related to the ward, minutes were available for us to view. 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. Regulation 17 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Good governance. Staff supported one patient sensitively on the anniversary of a traumatic life event. People were supported by staff to pursue their interests. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs. Managers had not followed recommendations from an internal investigation into concerns raised. Bayley Ward uses medication led model and follows the nursing approach of Safewards which incorporates: Depending on their mental state, patients will be engaged on a suitable OT programme to facilitate recovery. People who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols, could interact comfortably with staff and others involved in their treatment/care and support because staff had the necessary skills to understand them. The charity that runs St Andrew's hospital in Northampton told the CQC it started looking into whether the deaths on its 20-bed Grafton ward were linked shortly after a third patient died in. Your information helps us decide when, where and what to inspect. 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. Northampton, 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. Our rating of this location improved. One carer told us at the moment its great, the social worker is fantastic, and that there were regular updates from staff. Staff had completed physical health assessments for patients on admission accessed specialist healthcare providers when needed.