Inadequate Managers had not ensured established optimum staffing levels on all shifts. Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. 13: . Staff promoted equality and diversity in their support for people. There had been improvements since the last inspection. Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. Leadership development opportunities were available. Staff did not always follow the providers policy and procedures on the use of enhanced support when observing patients assessed as being at higher risk harm to themselves or others at all core services. 25 February 2014. Find out more about our inspection reports. Staff did not always feel respected, supported and valued on the long stay rehabilitation and learning disability and autism wards. Each ward had a book dedicated to learning from incidents and complaints generated across the hospital site. Staff had not met all patients physical health needs. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. Senior staff monitored incidents and discussed outcomes in team meetings. We saw action plans arising from complaints and the resultant changes on the wards. We observed staff not wearing personal protective equipment (face masks) appropriately when on the ward. There was a dashboard for monitoring ward performance, quality and safety against agreed targets. This ensured learning not just from their own ward but from other services. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. Staff told us patients snack times on the ward were 11am and 4pm. Suspended ratings are being reviewed by us and will be published soon. Whichhem. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing . Some staff used the Mental Capacity Act to assess capacity for individual decisions. 5 October 2022. We saw that staff in the neuropsychiatry services and PICU were using tablet computers to monitor outcome measures electronically while on the ward which meant that they saved time by not returning to the desktop computer and logging into the electronic note system. Not all ward areas at the long stay rehabilitation service and learning disability and autism service were safe, clean and well maintained. MHA administrators had a thorough scrutiny process. Staff protected and respected peoples privacy and dignity. Staff on the forensic, long stay rehabilitation and learning disability and autism wards did not always treat patients with compassion and kindness. Patients will only be admitted to a PICU if they display a significant risk of aggression, absconding with associated risk, suicide or vulnerability (e.g. In some services staff did not assess patients capacity to consent to treatment appropriately. Staff supported people to play an active role in maintaining their own health and wellbeing. PICU- Going into the weekend we have 2 beds available on our Male PICU in Essex, there is currently no access to seclusion on this ward. 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. We found culture had improved, and values of staff were better demonstrated between each other, their teams and caring for people. Staff used closed circuit television (CCTV) to monitor patients. Not all staff had completed training in the Mental Health Act (MHA) or the Mental Capacity Act (MCA). 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. Overview Latest inspection summary Practice nurses from the GP surgery attended the wards to address patients physical healthcare needs. Recommendations from external bodies were not always taken on board and these decisions were not always justified. Wards had seclusion rooms, low stimulus rooms and extra care suites for patient use. A mental health hospital in Northampton has been stopped from admitting new patients on some of its wards following a damning CQC report. 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. They provided a range of treatments suitable to the needs of the patients cared for in a mental health rehabilitation ward and in line with national guidance about best practice. Staff failed to maintain reliable systems, processes and practice around medicine management. There were weekly manager and matron meetings to review issues, monthly quality and safety meetings, which included the managers, clinicians and compliance manager. Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. However, some areas of the hospital, in particular the bathrooms and one seclusion room, required further work to meet these standards. cassandra jones artist; taiwanese urban legends. 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. Staff did not always complete observations in line with patient care plans and the providers policy and procedures. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. 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. Location: NorthamptonFull time: 37.5 hoursSalary: Up to 36,877 depending on experience + enhancements. Staff on Spencer North did not know where to find the ligature audit. The provider reported that 1,698 shifts out of 15,788 were unfilled for the period 1 February 2018 to 30 June 2018. Staff told us that the chief executive officer visited regularly. Our rating of this service improved. However, monitors were visible to staff from the office and to patients on entering or leaving the adjacent low stimulus room. The provider had removed 26 blanket restrictions following our last inspection. Patients regularly had their escorted leave, therapies or activities cancelled because of staff shortages. Two patients told us that they often had to wait a while for repairs to be carried out, we saw that patients frequently raised repair issues during community meetings. 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 and patients reported a smell of sewerage in the ensuite bathrooms of some rooms. At least one standard in this area was not being met when we inspected the service and New admissions will need to isolate and complete a lateral flow test. Patients should be detained under the MHA 1983 (all section papers are checked before accepting admission) and patients are not admitted under section 136. Bayley Ward provides short periods of rapid assessment, intensive treatment and stabilisation for patients, before or during, a longer period of inpatient care. 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. These groups are facilitated by Occupational Therapists, Psychology, Nursing, with sessions also by the Physical Health Nurse, Art Therapist and Advocacy. (later Organist at the University of St Andrews, Scotland) 2009 Oliver Waterer (later Organist at St. David's . The service did not have enough appropriately skilled staff to meet peoples needs and keep them safe, which meant some activities such as leave could not go ahead. This meant staff may not be clear what behaviour was expected in certain situation. Managers were visible on the wards and staff felt supported by operational managers and clinical nurse leads. The provider had ongoing recruitment and retention programmes to attract new staff. We found that shift leads allocated staff to complete enhanced observations for the same patient for up to twelve hours and allocated staff to complete observations continually throughout a shift for different patients for up to ten hours. Bayley PICU is a member of NAPICU and adheres to the NAPICU minimum standards and their admission criteria, Admission exclusion Criteria for PICU -Admission should not occur in the following circumstances. There was a shower curtain on some, but not all showers. Staff were passionate about their job and knew patients well. 2022 lacrossemits; is randy owens mother still alive cz scorpion evo folding stock fde; cranberry juice for hangoverscant colloid thyroid nodule; 2006 playcraft powertoon; apartments near rivermark plaza; bayley ward st andrews northampton gotrax scooter not accelerating. At Spring Hill House, we saw that refurbishments were taking place to the shower and bathing facilities. Carers reported issues with communication and gave examples of having to battle to be listened to and be involved. Learning disability patients told us that the restrictions around the risk safety system made them angry. There was no recorded evidence of staff and patients having an immediate debrief following an incident. There were high numbers of vacant posts. There was no evidence that the provider undertook regular and effective audits of these issues. Staff at the forensic service used derogatory and inappropriate language to describe patients. Menu. The provider had recently changed the local leadership of the ward. People and those important to them, including advocates, were actively involved in planning their care. Watkins House a longer term high dependency rehabilitation unit for women over 18, six beds. 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. Staff told us that they dreaded coming into work and felt professionally vulnerable. 2. Two carers told us that the social worker was helpful and another two told us their relative was in the right place for the care and treatment they needed. 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. Conservative 12. He founded Wisden Cricket Monthly and edited it from 1979 to 1996. Updated 1st Jul 2021, 10:14am A former St Andrew's Healthcare carer who kissed a 'vulnerable' mental health patient five times was spared jail at Northampton Crown Court yesterday (Wednesday,. Here are seven reasons why: 1. A patient is assessed as posing a significant risk of harm to others or extreme aggression towards property, Internally directed aggression. Urgent enforcement action was taken following the previous inspection because of immediate concerns we had about the safety of patients on the forensic inpatient or secure wards, long stay or rehabilitation mental health wards for working age adults and wards for people with learning disabilities or autism. Some staff and patients told us that they did not feel safe on the learning disability wards. 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. Medical staff told us clinical decisions were made at a senior level without any evidence based rationale or consultation at a clinical level. We don't rate every type of service. Browser Support The Bayley Ward team aims to provide a high-qualityservice offering assessment, treatment, care and security for men who are in an acutely disturbed phase of a serious mental disorder. the service is performing badly and we've taken enforcement action against the provider of the service. People benefitted from the interactive and stimulating environment, and the service endeavoured to make further improvements in providing sensory spaces for people on the wards. Whilst managers and the health and safety lead had completed ligature audits for Spencer North and Sitwell wards within the last six months prior to inspection, there was no hard copy of the ligature audit and assessment available. The management team was in the process of reforming the culture on this ward. Staff did not always treat patients with kindness, dignity and respect. 16 September 2016, Published Staffing levels at night were particularly low. They were respectful in their approach. Managers did not share learning from incidents with their teams in the forensic and learning disabilities services. In the psychiatric intensive care unit (PICU) some bedrooms, bathroom and shower areas were dirty and carpets were not clean. PBS care plans were available in paper form for staff to have easy access and in easy read for patients when needed, as well as on the electronic system. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. Staff did not always provide patients with information about their rights under the Mental Health Act. Heygate ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning disabilities / autistic spectrum disorder. 2022 lacrossemits; is randy owens mother still alive cz scorpion evo folding stock fde; cranberry juice for hangoverscant colloid thyroid nodule; 2006 playcraft powertoon; apartments near rivermark plaza; bayley ward st andrews northampton Home Uncategorized gotrax scooter not accelerating. The provider told us they were going to fit a safe diffuser over all of the ducts to try to diffuse the cool air over a larger area. We received mixed comments from the patients that we spoke with over our two day visit. 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. Managers agreed that at times it was difficult to ensure the safety of the ward, whilst meeting the needs of the patients. 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. Any other browser may experience partial or no support. Chinese Granite; Imported Granite; Chinese Marble; Imported Marble; China Slate & Sandstone; Quartz stone 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. They actively involved patients and families and carers in care decisions. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. Billing Road, Northampton, Northamptonshire, NN1 5DG The success gave Northampton an excuse to build a larger stadium, as interest was high in the densely-populated city and the money was coming in. Managers on the learning disability wards and forensic wards did not make sure staff received specialist training for their role. Blanket restrictions continued to be in place on most wards. They minimised the use of restrictive practices and followed good practice with respect to safeguarding. Managers ensured that staff had relevant training, regular supervision and appraisal. Some senior staff gave examples of learning from incidents for their ward. However, we found the following areas of good practice: Published We found some expired medicines in the clinic rooms on the wards, and that staff did not act on previous audits where this was found. 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 . Short term quarantining ensures the safety of all of our patients and staff. We told the provider they must not admit any new patients until further notice; that wards must be staffed with the required numbers of suitably skilled staff to meet patients needs and to undertake patients observations as prescribed; that staff undertaking patient observations must do so in line with the providers engagement and observation policy and protocol and the provider must ensure there is clear documentation to inform staff of the current observation level of all patients. please let us know your views, opinions, thoughts or ideas to help us continuously improve. Staff in forensic services completed regular ligature risk assessments and wards contained very few ligature risks. Staff did not ensure that patients had a care plan in place for the use of rapid tranquilisation in line with policies and procedures. 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. Males aged between 18 and 65 years old mental health issues that may include: These criteria are a guide for assessing suitability. Managers had not effectively managed the change to the ward profile. Reports under our old system of regulation. The patients' comments were overwhelmingly positive with lots of activities in the unit particularly, pamper sessions where they could get their nails done and access foot spas. Staff ensured most patients needs were assessed and met within care plans. Staff assessed and managed risk well. We will publish a report when our review is complete. Staff did not always share clear information about patients and any changes in their care. Any other browser may experience partial or no support. at Northampton are the Adolescents services, men's services, women's services and acquired brain injury . Staff planned and managed discharge well and liaised well with services that would provide aftercare. The leadership, governance and culture did not always support the delivery of high quality, person centred-care. The emphasis is on short-term intensive treatment with regular reviews of progress. 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. Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a transition. Two patients told us that their escorted leave had been cancelled. The provider had not ensured that ward areas were always well maintained. 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. Patients and carers reported that managers were dismissive of concerns raised. In forensic services, the receptionist controlled access to three buildings from one reception area and used CCTV monitors to control access. Psychiatric intensive care unit, we spoke to four patients. One patient told us that the staff we have are amazing. Patients described occasions when they were distressed and staff ignored them. Patients described the new dietician as amazing. People received kind and compassionate care. In two services, care plans did not always reflect how to manage patients with physical health issues. Our Carers Centre can be contacted on. We rated it as requires improvement because: In This meant there was no consistency and managers could not be sure that supervisors were addressing performance issues. Forensic inpatient and secure wards: all patients told us that they had received advice regarding their medications. 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. The neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. 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. Staff did not always record details of restraint techniques used. Regulation 9 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Person-centred care. Church ward is a low secure inpatient ward that can accommodate up to 10 children and adolescent males with neuro-disability / autistic spectrum disorder. These older reports are from our old approaches to inspection, including those from before CQC was created. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. Managers had not ensured a safe environment at the learning disabilities service. There were regularly high numbers of bank and agency staff used across these wards. Due to a planned power outage on Friday, 1/14, between 8am-1pm PST, some services may be impacted. Telephone: 01604 614584. There were gaps in records where staff had not signed the entries. We rated it as requires improvement because: Published Staff did not always ensure patients physical healthcare needs were met at the psychiatric intensive care, forensic and long stay rehabilitation wards. We will publish a report when our review is complete. The provider would pay these staff a bursary to support their training, following which they would return to work at St Andrews for a minimum of two further years. We were told that there were issues around maintaining staff on Fairburn ward who were trained in British sign language (BSL). The 1999 Winchester City Council election took place on 6 May 1999 to elect members of Winchester District Council in Hampshire, England. This meant staff could not find the most up to date plan of how to care for people using the service. 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. 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. Patients could personalise their bedrooms and had lockable spaces to secure possessions. Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. A 17-year-old girl is being held in a 'cell' in St Andrews Healthcare, Northampton Credit: Alamy She has been in the 12ft by 10ft cell, which only contains a plastic-covered mattress and. BayleyWard NSW Unit 10 Level 3 24 Hickson Rd Millers Point NSW 2000. People were involved in managing their own risks whenever possible. the service is performing exceptionally well. We carried out this inspection in response to concerning information received through our monitoring processes. 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 described the furniture as uncomfortable. Staff did not always follow National Institute for Health and Care Excellence guidance for the use of rapid tranquillisation on Sunley ward. There were weekly bed management meetings to review bed numbers. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. We received the requested assurance. A patient was in a distressed state for over an hour due to lack of specialist equipment. 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. Medical staff raised an issue about completing medical reviews for seclusion at night with only one doctor on duty for the site, and a second doctor available until midnight. Staff knew and understood people well and were responsive. Long stay or rehabilitation wards: Patients told us they felt safe. The service did not have enough nursing and support staff to keep patients safe at all core services. 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.