Download easy to read version for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Learning Disabilities Reviews Report published 13 February 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published 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. bayley ward st andrews northampton Inspection Report published 20 September 2013 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Staff did not always follow the Mental Health Act code of practice in relation to seclusion, long term segregation, blanket restrictions and section 17 leave on the long stay rehabilitation and learning disability and autism wards. In particular high numbers of registered agency nurses had been booked for night duty, many of whom were male, and not known to the female patients. Family and friends telephone line: 01604 614570. We found staff did not always safely manage medicines and act on audit results on three services we inspected. bayley ward st andrews northampton - meritageclaremont.com The remaining staff (2%) were out of date with training. 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). Managers said they felt supported and staff said they felt valued. In two services, care plans did not always reflect how to manage patients with physical health issues. 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. Suspended ratings are being reviewed by us and will be published soon. People and those important to them, including advocates, were involved in planning their care. Not all wards had a seclusion facility available for use. Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Suspended ratings are being reviewed by us and will be published soon. We reviewed 21 care and treatment records for patients. Staff and patients spoke highly of the new manager and we observed that positive changes had been made on our second visit. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing impaired (profound, severe, partial or hard of hearing . . Facilities and premises used on Elgar and Spring Hill wards were not appropriate for the service being provided. 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. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Our rating of this location improved. Staff at these services were not reporting all incidents and not recording all incidents appropriately. Staff provided a range of activities for patients and activities were available seven days a week. Senior managers of the hospital and senior ward-based staff had taken steps to address a closed culture that was identified at our last inspection. We visited Spring Hill House, Sitwell and Stowe wards. Patients had access to independent advocacy services. This meant senior staff could move staff to where need indicated it was higher on some wards. The location was rated as inadequate overall and placed into special measures. Two patients described the furniture as uncomfortable. St Andrew's Healthcare - Womens Service - CQC Health watchdog bars mental health provider from admitting new - ITVX that the provider must not admit any new patients without permission from the CQC; that wards must be staffed with the required numbers of suitably skilled staff to meet patients needs; that staff undertaking patient observations must do so in line with the providers policy; that staff must receive required training for their role and that audits of incident reporting are completed. There was a high use of regular bank staff and agency staff. We found culture had improved, and values of staff were better demonstrated between each other, their teams and caring for people. Some staff and patients told us that they did not feel safe on the learning disability wards. One third of the council was up for election and the Liberal Democrats stayed in overall control of the council. The majority of patients felt they were supported well by the staff team on the ward. 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. the service is performing badly and we've taken enforcement action against the provider of the service. We told the provider they must provide immediate assurance in relation to staffing levels, staff completing enhanced observations of patients in line with National Institute of Health and Care Excellence guidance and staff reporting incidents and appropriate action is being taken. 7: Sir William Wake 9th Bt 17681846 page . Staff supported one patient sensitively on the anniversary of a traumatic life event. Here are seven reasons why: 1. Staffing levels at the time of the incidents were recorded in each report. Some rooms had sensory equipment that was available for people to use. Four people told us that they liked the food but that the options could be improved. This is an organisation which is involved in promoting and developing work within the PICU settings. Staffing numbers did not meet establishment levels. The service does not have a registered manager in post but does have a nominated individual as required, and a controlled drugs accountable officer. Our rating of this location improved. Three patients told us that the ward had several bank staff. National Institute for Health and Care Excellence (NICE)).Examples included National Institute for Health and Care Excellence (NICE) guidance on personality disorder, assessment and treatment, Antisocial personality disorder: prevention and management and self-harm: assessment, management and preventing recurrence. The wards had enough nurses and doctors. 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. Let's make care better together. Patients were involved with their care plans, had good access to physical healthcare and had access to activities organised by the Occupational therapist. Contact bayleyward Type of organisation Voluntary Sector Service Descripton of organisation In patient Out patient Residential miles (straight line) miles (approximate road distance) Entry last updated Four patients told us that there was a lack of health food options and that the quality of the food was variable. Patients had access to independent mental health advocacy. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. Nick oversees all areas of architectural design and delivery for the studio with broad experience in residential, commercial, cultural and leisure sectors. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding 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 Senior staff monitored incidents and discussed outcomes in team meetings. Staff at the learning disability and autism wards were unable to define a closed culture or describe how they ensured patients were protected from the risks associated with a closed culture developing. the service isn't performing as well as it should and we have told the service how it must improve. The new ward manager and operational lead had recently started in their posts. 258. Staff did not ensure that patients had a care plan in place for the use of rapid tranquilisation in line with policies and procedures. Staff did not always demonstrate the values of the organisation when supporting patients. Regulation 18 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Staffing. This ensured learning not just from their own ward but from other services. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. Staff managed known risks with nursing observations and individual risk assessments. Agency staff did not have access to all of the systems, adding additional responsibilities onto the permanent staff. These older reports are from our old approaches to inspection, including those from before CQC was created. The provider had high vacancy rates in forensic, neuropsychiatry, older adults and rehabilitation services. People received kind and compassionate care. We would like to show you a description here but the site won't allow us. Staff had completed person centred and holistic care plans for 20 patients reviewed. 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. Bayley Ward, St Andrews Hospital, Northampton, NN51 5DG NHS Gloucestershire CCG 1 Brunel Ward, Priory Hospital, Heath House Lane, Bristol, BS16 1 EQ NHS Herefordshire CCG 1 Cygnet Coventry CV2 4FN NHS Gloucestershire CCG 1 ELGAR UNIT, HOLT WARD, NEWTOWN HOSPITAL WR5 1JG NHS Gloucestershire CCG 1 Frinton Ward, St Andrews Hospital, Essex SS12 9JP . We imposed conditions on the provider's registration that included the following requirements: Following this inspection, we wrote to the provider on 9 May 2022, to vary one condition to allow, from 10 May 2022, that St Andrews Healthcare Womens service may admit up to a maximum of 1 patient per week to each ward without seeking permission from the Commission. 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. Staff received regular supervision and had received annual appraisal. 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 providers governance processes had not addressed staff failures to follow the providers procedures on enhanced observations, handovers and safety checks. Staff did not always record details of restraint techniques used. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. Two patients told us that their escorted leave had been cancelled. Most wards were safe, visibly clean, homely and well furnished. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff. Due to a planned power outage on Friday, 1/14, between 8am-1pm PST, some services may be impacted. Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. There were robust systems in place for reporting and investigating incidents and complaints. 3. Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. We saw rotas which showed the wards were regularly using bank or agency staff, Mackaness had three members or regular staff on duty and six agency staff on the day of our visit. Bayley Ward provides short periods of rapid assessment, intensive treatment and stabilisation for patients, before or during, a longer period of inpatient care. 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. Naseby ward, a longer term high dependency rehabilitation unit for women over 18, providing comprehensive dialectic behaviour treatment (DBT) with a diagnosis of borderline personality disorder (BPD), 12 beds. 220: . Staff made every attempt to avoid using restraint by using de-escalation techniques and restrained patients only when these failed and when necessary to keep the patient or others safe. Staff in forensic services did not always document fully what patients had been offered or received. He founded Wisden Cricket Monthly and edited it from 1979 to 1996. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. The ward environments were safe and clean. Inspection Report published 25 February 2014 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published We reviewed incidents where staff had not provided physical health interventions as required and staff did not always record patients physical health or nutritional needs.
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