bayley ward st andrews northampton

We looked at the Mental Health Act paperwork for patients and found it to be accurate and complete in all sections. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. Staff did not follow the providers policy and record all the medicines they had disposed of. 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. All other conditions outlined in the section 31 notice of decision from July 2021 remained applicable. St Andrew's Healthcare. A second carer told us that staff keep us up to date, adding that they attend meetings and speak to both the social worker and care coordinator regularly. Staff did not always complete physical healthcare monitoring for patients prescribed specific medications and staff did not complete the relevant chart regularly or appropriately. Frith has written dozens of books on both cricket in modern times and cricket of the past, mainly focussing on Ashes Test Match history. Staff took part in a range of clinical audits, benchmarking and quality improvement initiatives. We will publish a report when our review is complete. Monday to Friday 9am to 6pm 03 9695 0222 info@bayleyward.com ABN 32 162 916 467. 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. Staff did not always ensure patients physical healthcare needs were met at the psychiatric intensive care, forensic and long stay rehabilitation wards. 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 did not always support patients physical health needs effectively at the longstay rehabilitation and forensic services. People received care, support and treatment that met their needs and aspirations. The provider had high vacancy rates in forensic, neuropsychiatry, older adults and rehabilitation services. 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 Published Staffing numbers did not meet establishment levels. 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 was on a hospital site with other mental health services and was designed to provide a service to 24 people over three wards. 13: . The provider had plans to improve this, but these had not yet commenced. It was also revealed that four patients had died on one ward between October 2010 and May 2011 and that all had been prescribed Clozapine. Staff did not always act to prevent or reduce risks to patients and staff. Managers on the learning disability wards and forensic wards did not make sure staff received specialist training for their role. Multidisciplinary teams worked effectively across all wards. Staff had quick access to ligature cutters and pocket masks (for use in mouth to mouth resuscitation) in different areas of the wards. Watkins House a longer term high dependency rehabilitation unit for women over 18, six beds. There had been an increase in the group of patients with Huntingdons disease on Tallis ward which affected the clinical risks on the ward and this was raised as a concern, this was being addressed by staff receiving extra training in this area. Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. The provider was not compliant with the Mental Health Act Code of Practice. Walton is for male patients with Huntingdons disease. A physical healthcare team, based on site, were available during the week to offer support with patients physical healthcare needs. 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. The leadership, governance and culture did not always support the delivery of high quality, person centred-care. Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. Staff on the forensic wards did not always follow infection control procedures. Patients described occasions when they were distressed and staff ignored them. 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. Staff did not always keep patients safe from harm whilst on enhanced observations. chase overdraft fee policy 24 hours; christingle orange cloves; northeast tennessee regional fire training academy; is srco3 soluble in water; basic science topics for nursery 2; bellflower property management; gifts from the holy land bethlehem; Staff had completed physical health assessments for patients on admission accessed specialist healthcare providers when needed. Patients had access, without supervision, to the main courtyard, however, there was a large opening in the ground of the courtyard that had been there for over 10 months without repair. 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. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Male or Female Northampton (Out of office hours) -Please contact the relevant ward directly: There is now updated Covid-19 guidance for healthcare settings, which means there are some changes to the admissions and isolation processes affecting our patients: 1. Published Staffing levels at night were particularly low. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. Billing Road, Northampton, Northamptonshire, NN1 5DG. ADD ANYTHING HERE OR JUST REMOVE IT new zealand flax leaves turning brown Facebook limo service liberia, costa rica Twitter brianna chickenfry net worth Pinterest washington crossing national cemetery burial schedule linkedin village home apartments dallas Telegram Staff did not ensure that patients had a care plan in place for the use of rapid tranquilisation in line with policies and procedures. 24/7 admissions service with decision within an hour of a referral. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. However, we found the following areas of good practice: Published We saw evidence in progress notes that staff sought support from the providers physical health team when required. Patients were given leave to attend church for private prayers. This meant staff could not find the most up to date plan of how to care for people using the service. The patient was turned onto their side or back as soon as possible and the majority of prone restraints lasted less than three minutes. This meant that they were able to receive independent support to help them express their views and assist with any appeal against their detention under the MHA if they so wished. A patient is assessed as posing a significant risk of harm to others or extreme aggression towards property, Internally directed aggression. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. One carer told us at the moment its great, the social worker is fantastic, and that there were regular updates from staff. Irene was a home-maker. bayley ward st andrews northampton. We're a specialist charity that invests in innovative, patient-centric, holistic care. The service did not have robust governance processes in place to ensure that due consideration was given to recommendations from external reviews and ensure that actions were followed up. Staff had completed person centred and holistic care plans for 20 patients reviewed. 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. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. Staff supported people to make decisions following best practice in decision-making. 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. We were told that there were issues around maintaining staff on Fairburn ward who were trained in British sign language (BSL). Staff developed a comprehensive care and personal behavioural plan for each patient that met their mental and physical health needs. Feedback from focus groups and information received through CQC also reported a bullying culture in some parts of the organisation. A debrief is an opportunity for staff to reflect on the incident, review what action was taken, any immediate lessons learned and to offer support to patients and staff. One patient told us that the regular bank staff were caring and understood their needs, but two patients told us that bank staff were not responsive to their needs. Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. The unit had a shared electronic device which patients could use to make video calls and a shared phone. Staff did not read patients their rights under section 132 of the Mental Health Act in some wards. 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. Staff on the forensic, long stay rehabilitation and learning disability and autism wards did not always treat patients with compassion and kindness. We found that the risk based safety system is being used to manage non risk behaviours such as non-engagement. We heard on rare occasions the transport was unavailable leaving both the staff and patient at risk. 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 reported incidents accurately and in line with the providers policy. We also looked at seclusion facilities and seclusion records, as concerns had been identified at a Care Quality Commission Mental Health Act seclusion monitoring visit on 22 November 2013. Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. Staff knew and understood people well and were responsive. They actively involved patients and families and carers in care decisions. People received good quality care, support and treatment because staff were trained to support their needs. Home; About Us. Acute and Psychiatric Intensive Care Units. the service isn't performing as well as it should and we have told the service how it must improve. The last comprehensive inspection of this location was in July and August 2021. Whichhem. 24 September 2020. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. Suspended ratings are being reviewed by us and will be published soon. Staff were not completing risk assessments on Elgar ward, with information being copied between records for different patients. In older adults services the provider did not always reduce the risk from blind spots. Regulation 9 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Person-centred care. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas, although the provider reported these immediately. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. This meant people received compassionate and empowering care that was tailored to their needs. The electronic system was difficult to navigate to find key documents such as PBS reports and some plans. 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. Appraisal of performance was undertaken annually. Staff did not always complete observations in line with patient care plans and the providers policy and procedures. The remaining staff (2%) were out of date with training. 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. Northampton, 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. 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. 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. You can also Whatsapp /Call him at 9311740424 We reviewed one patients records who had been administered rapid tranquillisation medication twice in one day. This meant staff may not be clear what behaviour was expected in certain situation. Patients regularly had their escorted leave, therapies or activities cancelled because of staff shortages. 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. 2. The provider recently introduced daily safety huddles involving the whole staff team. Our rating of this service stayed the same. The behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. In 1988 Frith won the Sports Council's British Sports Journalism award as Magazine Sports Writer of the Year. Find out more about our inspection reports. 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. there are some services which we cant rate, while some might be under appeal from the provider. Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. Staff did not always create care plans for physical healthcare conditions. Staff did not always feel respected, supported and valued on the long stay rehabilitation and learning disability and autism wards. Staff trained in British sign language (BSL) were available to patients on Fairbairn ward. The service did not have enough nursing and support staff to keep patients safe. Location: NorthamptonFull time: 37.5 hoursSalary: Up to 36,877 depending on experience + enhancements. We found examples of poor record keeping of handovers. Staff received training in safeguarding and made appropriate referrals. 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. Peoples risks were assessed regularly and managed safely. Billing Road, Northampton, Northamptonshire, NN1 5DG In forensic services, the receptionist controlled access to three buildings from one reception area and used CCTV monitors to control access. On Oak ward, we found water stains in bathrooms and showers where water had been left to dry, because the drainage was not sufficient enough to allow the water to flow away. Staff did not manage patient risks effectively. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. Managers did not provide a safe environment for patients. Staff did not allow patients to have snacks outside these times. the service is performing badly and we've taken enforcement action against the provider of the service. People and those important to them, including advocates, were actively involved in planning their care. People and those important to them, including advocates, were involved in planning their care. Agency staff did not have access to all of the systems, adding additional responsibilities onto the permanent staff. Referrals accepted direct from Clinical Commissioning Groups and Foundation Trusts. 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. Staff had not followed the dysphagia care plan for one patient on Sitwell ward, which had resulted in a choking incident. We found that the space on the older adults wards was a challenge to make feel homely, however we saw they had utilised the ends of corridors to create small areas of interest. Safe was rated as inadequate, effective rated requires improvement, caring rated inadequate, responsive rated requires improvement and well led rated as inadequate. 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. Staff documented patients did not have capacity but did not give a rationale as to why they had made this decision nor document any discussion. the service is performing badly and we've taken enforcement action against the provider of the service. Most staff treated patients with dignity and respect and were responsive to patients individual needs. Getting To The Hospital Collapse all By Road View By Bus View By Train View In rehabilitation services, staff did not always respond appropriately to a decline in a patients physical health and did not use observation tools to review and assess the response needed. 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. BayleyWard is an award winning Architecture, Interior Design and Urban Design studio. cassandra jones artist; taiwanese urban legends. Telephone: 01604 614584. Welcome to St Andrew's Therapy Northampton Our therapy clinic in Northampton offers specialist mental health assessments, diagnosis, counselling and talking therapy services. Psychiatric intensive care unit, we spoke to four patients. 1998-2011 Richard Tanner (from All Saints' Church, Northampton) 2011-2019 Samuel Hudson; 2019- John Robinson; Organist in . 5 October 2022. The multi-disciplinary team had not conducted reviews as required. Heygate ward Male PICU N'ton Tel: 01604 616 111 Email: SAH.PICUMaleNorthampton@nhs.net, Bayley ward Male PICU N'ton Tel: 01604 614 584 Email: SAH.PICUMaleNorthampton@nhs.net, Audley ward Male PICU Essex Tel: 01268 723 930 Email: SAH.PICUMaleEssex@nhs.net, Frinton ward Female PICU Essex Tel: 01268 723 860 Email: SAH.PICUFemaleEssex@nhs.net, Benfleet ward - Male ACUTE Essex Tel: 01268 723 934 Email: SAH.ACUTEMaleEssex@nhs.net, Naseby ward - Male ACUTE Northampton Tel: 01604 616 179. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. Staff did not always follow the providers policy and procedures on all wards on the use of enhanced support when observing patients assessed as being at higher risk harm to themselves or others. Staff supported patients to engage with the wider community. 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. Staff at these services were not reporting all incidents and not recording all incidents appropriately. Staff had not always recorded in the patients clinical records, the rationale for seclusion, or the time that a period of seclusion had ended. They told us this affected the quality of the service they received and restricted their engagement in planned therapeutic activities. Nursing and support staff we spoke with in the CAMHS services did not have any understanding of positive behaviour support. When restrictive practices were used, there was a reporting system in place and there were comprehensive reviews to try and reduce the use of these practices. an inspection looking at part of the service. In some services staff did not assess patients capacity to consent to treatment appropriately. In two services, care plans did not always reflect how to manage patients with physical health issues. Staffing levels at the time of the incidents were recorded in each report. We found gaps in hourly observation records on 193 out of a possible 1,008 occasions. One patient told us they really enjoyed being involved in the community meetings and looked forward to them. Bayley Ward provides short periods of rapid assessment, intensive treatment and stabilisation for patients, before or during, a longer period of inpatient care. Three patients told us that the ward had several bank staff. When reception staff were away from their desk, access to the building was delayed for patients. We believe there's nowhere better to start your career than St Andrew's Healthcare. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare. Fairbairn Ward management informed us the electronic system did not allow them to specify staff trained in British Sign Language. We don't rate every type of service. Compton Ward Northampton General Hospital, Cliftonville, Northampton, Northamptonshire, NN1 5BD 01604 634 700 Send email Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? Staff kept some information in paper format. There were appropriate systems for managing and recording complaints. We received mixed comments from the patients that we spoke with over our two day visit. Teams held regular and effective multidisciplinary meetings. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. Staff had not always followed the providers policy on patient observations in two services. Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. We found staff did not always safely manage medicines and act on audit results on three services we inspected. Patients were involved with their care plans, had good access to physical healthcare and had access to activities organised by the Occupational therapist. NN1 5DG. Staff provided a range of activities for patients and activities were available seven days a week. There had been an overall decline in the use of agency staff over the preceding 12 months. No rating/under appeal/rating suspended Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. We were told that some agency staff and some bureau staff did not have access to the electronic notes system meaning that patient information would not be readily available in an emergency. Staff did not always identify and report safeguarding concerns. To make a PICU enquiry or discuss a referral please contact our wards directly Not all staff had completed training in the Mental Health Act (MHA) or the Mental Capacity Act (MCA). We found that staff were not aware of learning from complaints, incidents and internal and external investigations. We visited Spring Hill House, Sitwell and Stowe wards. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. Our Carers Centre can be contacted on. Silverstone ward, a longer term high dependency rehabilitation unit for women over 18, with emotionally unstable personality disorder (EUPD) and disordered eating, 12 beds. Concerns identified at previous inspections had not always been addressed. Overview Latest inspection summary 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. 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 recognised difficulties in the learning disability services in ensuring that the wards had the correct staff skill mix for the patients needs. 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. W K irVJL^ l^l-V-rK^f-VJL/0 THE HI.STC:..- VITAL RECORDS :;DWiyl513^nOM ^ OF MANCHESTER \ Li::..A MASSACHUSETTS TO THE END OF THE YEAR I 849 PUBLISHED BY THE ESSEX INSTITUTE 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. The overall rating for this service has improved to requires improvement. Our rating of this location stayed the same. This was raised on numerous occasions in community meetings with no evidence of any action taken. We told the provider that they must provide CQC with an update relating to these issues on a fortnightly basis. the service isn't performing as well as it should and we have told the service how it must improve. Managers did not ensure staff had the right skills, knowledge and experience to meet the needs of patients with a diagnosed eating disorder.

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