A range of psychological therapies recommended by the national institute for health and care excellence was available for patients. Some records had part of the paperwork uploaded. The 1999 Winchester City Council election took place on 6 May 1999 to elect members of Winchester District Council in Hampshire, England. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. Physical healthcare services included dentistry and podiatry. Patients regularly had their escorted leave, therapies or activities cancelled because of staff shortages. In two services, care plans did not always reflect how to manage patients with physical health issues. John Clare ward is a low secure inpatient ward that can accommodate up to nine children and adolescent females with complex mental health needs. Due to a planned power outage on Friday, 1/14, between 8am-1pm PST, some services may be impacted. Wards had examples of restrictive practices such as kitchens being locked and reliant on staff for hot drinks on Berkley close. Patients could personalise their bedrooms and had lockable spaces to secure possessions. The PICU ward was affiliated to the National Association of Psychiatric Intensive Care and Low Secure Units (NAPICU). Staff had not always recorded in the patients clinical records, the rationale for seclusion, or the time that a period of seclusion had ended. The management team was in the process of reforming the culture on this ward. Some staff and patients told us that they did not feel safe on the learning disability wards. Requires improvement 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 at the longstay rehabilitation service did not always uphold patients dignity in relation to medication and care. Staff did not always treat patients with kindness, dignity and respect. Staff supported people to make decisions following best practice in decision-making. We saw evidence in progress notes that staff sought support from the providers physical health team when required. BayleyWard is an award winning Architecture, Interior Design and Urban Design studio. This was because of the air exchange system sending columns of cold air directly downwards when the ward gets above 28 degrees. St. Andrew's Hospital, Northampton: The First 150 Years (1838-1988) Patients could access garden areas and open spaces. 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. How many of them have died in St Andrews? Feedback from the outcome of complaints was not shared with the complainant on all occasions. 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. Fifty one percent of staff had received Management of Actual and Potential Aggression (MAPA) training and 47% of staff were trained in Prevention and Management of Aggression and Violence (PMAV). 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 Suspended ratings are being reviewed by us and will be published soon. 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. A mental health hospital in Northampton has been stopped from admitting new patients on some of its wards following a damning CQC report. 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. 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. Staff were caring and keen to do the best for the patients. Church ward is a low secure inpatient ward that can accommodate up to 10 children and adolescent males with neuro-disability / autistic spectrum disorder. 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 location was rated as inadequate overall and placed into special measures. Patient is assessed as presenting too high an internal or perimeter security risk for the PICU, requiring a Medium or High secure PICU, The patient has a primary diagnosis of Substance misuse and the primary purpose of admission is solely to prevent access to substances, The patient has a primary diagnosis of Dementia, Learning Disability and Personality Disorder, Patients physical condition is too frail to allow their safe management on a PICU, Patient has a chronic condition which would not benefit from admission to PICU, The patient is restricted ( subject to MHA 1983 , via the courts ,Ministry of Justice) and has no clear pathway or provision for transfer from the PICU once clinically warranted, Patient must be 18 years and over and not above 65 years, Mental health awareness, including: understanding stress, understanding medication, substance misuse and understanding unusual experiences (psychosis), Therapy areas including crafts, information technology (IT) skills, kitchens and vocational rehabilitation. we have taken enforcement action. The service had appropriately skilled staff to keep them safe. There were times when patients were not well supported and cared for. Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. 25 February 2014. We rated it as requires improvement because: In Inspection Report published 20 September 2013 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published the service is performing exceptionally well. Staff had not always recorded patients vital signs (in line with the National Institute for Health and Care Excellence (NICE guidance) when using rapid tranquilisation. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. Not all ward areas at the long stay rehabilitation service and learning disability and autism service were safe, clean and well maintained. A multidisciplinary team worked well together to provide the planned care. [1] After the election, the composition of the council was: Liberal Democrat 34. Most staff treated patients with dignity and respect and were responsive to patients individual needs. 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. Three patients told us that their planned activities had been cancelled. The BDMs are the first point of contact for all research proposals to external funding bodies in the UK, EU and Overseas and for research projects with industry. Our rating of this location improved. News you can trust since 1931. . Patients that have received a positive result can end their isolation before the 10 days if they have 2 consecutive negative LFT results 24 hours apart. Staff did not complete peoples enhanced and general observations in accordance with the provider policy and we found numerous gaps in the observations records. There was a high use of regular bank staff and agency staff. This equated to a fill rate of 89% against the provider target of 90%. Inadequate No rating/under appeal/rating suspended Patients and staff told us that staff shortages often resulted in staff cancelling escorted leave, hospital appointments and activities across all cores services. In 1988 Frith won the Sports Council's British Sports Journalism award as Magazine Sports Writer of the Year. This was particularly high for registered nurses. It often occurred that staff were trained up to a level to work with patients, then moved to work on other wards. 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. Therefore, we are taking action in linewith our enforcement procedures to begin the process of preventing the provider from operating the service. Since 1 February 2019, the Bayley PICU have been trialling body ward cameras on nurses. there are some services which we cant rate, while some might be under appeal from the provider. Patients had good access to physical healthcare when needed. bayley ward st andrews northampton. 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. All patients we spoke to stated that they had been involved in the development of both their care and behavioural support plans. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. Staff received training in de-escalation skills and conflict resolution. Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. Seacole ward had outstanding maintenance issues. Location: NorthamptonFull time: 37.5 hoursSalary: Up to 36,877 depending on experience + enhancements. Carers reported issues with communication and gave examples of having to battle to be listened to and be involved. One patient said,' 'yes the staff are good here they are always ready to have a chat with you'. 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. Staff throughout the organisation were aware of how to report incidents and we saw good examples of staff learning from the investigation of adverse events. Managers did not share learning from incidents with their teams in the forensic and learning disabilities services. Reports under our old system of regulation. Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. Staff developed holistic, recovery-oriented care plans informed by a comprehensive 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. We saw leadership at ward manager level. 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. the service is performing exceptionally well. Staff arrived late to handovers. People were supported by staff to pursue their interests. 258. 2. Staff discussed current concerns and risk issues for all patients and agreed on actions required. People with physical health issues such as epilepsy, did not have appropriate care plans to manage bathing. Some patients told us they were concerned that sometimes their planned activities, such as outings in the community had been cancelled due to low staffing levels at Spring Hill House. Staff failed to maintain reliable systems, processes and practice around medicine management. We rated St Andrews Healthcare Northampton as requires improvement because: Published Each patient will be individually assessed by our dedicated team. Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published 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 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 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. Regulation 13 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safeguarding service users from abuse and improper treatment. Staffing levels at the time of the incidents were recorded in each report. (01604) 616000, Provided and run by: When reception staff were away from their desk, access to the building was delayed for patients. Staff had not followed the dysphagia care plan for one patient on Sitwell ward, which had resulted in a choking incident. The provider recently introduced daily safety huddles involving the whole staff team. Staff received mandatory and specialist training and most were up to date. The last comprehensive inspection of this location was in July and August 2021. 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. We spoke with staff and people using the service and the ward managers for the three wards visited. 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. There was a dashboard for monitoring ward performance, quality and safety against agreed targets. 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.