Staff did not always share clear information about patients and any changes in their care. On Seacole ward there were issues with controlling temperatures on the ward. On PICU, forensic, rehabilitation and older adults wards staff had not uploaded the MHA legal detention papers in full to the electronic system. Any other browser may experience partial or no support. The following services and wards were visited on this inspection: Acute wards for adults of working age and psychiatric intensive care units: This service was one of three hospital sites chosen by NHS England to pilot a blended setting of medium and low security levels, to reduce overall length of stay in hospital. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. The largest UK medium secure service for deaf men aged between 18 and 65 years old. Managers had not followed recommendations from an internal investigation into concerns raised. This was particularly high for registered nurses. Requires improvement Staff did not complete care plans for all identified risks. 2023 - All Rights Reserved St Andrew's Healthcare, Governance, CQC ratings and Annual reports, Child and Adolescent Mental Health (CAMHS), Information for family, friends and carers, LightBulb Mental Wellness for Schools Program, Centre for Developmental and Complex Trauma, Significant risk of harming themselves or others. One patient told us they really enjoyed being involved in the community meetings and looked forward to them. Staff had not always followed the providers policy on patient observations in two services. Staff received and kept up to date with training on the Mental Health Act and the Mental Health Capacity Act. Patients told us that there was not enough food, catering staff did not send meals or sent the wrong meals, food was sometimes "mouldy" and was not always cooked properly. Some staff did not know how to access peoples care records on the electronic records system. 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. Four people told us that they liked the food but that the options could be improved. Staff had not ensured the physical security of Willow ward. The service managed beds well so that a bed was always available locally to a person who would benefit from admission and patients were discharged promptly once their condition warranted this. Child and Adolescent Mental Health Services (CAMHS) in Northampton is a Hospitals - Mental health/capacity specialising in the provision of services relating to assessment or medical treatment for persons detained under the 1983 act, caring for children (0 - 18yrs), caring for people whose rights are restricted under the mental health act, eating Welcome to St Andrew's Therapy Northampton Our therapy clinic in Northampton offers specialist mental health assessments, diagnosis, counselling and talking therapy services. Staff could access emergency physical health care from the providers emergency response teams and the local general hospital to cover out of hours emergencies. Not all staff had completed training in the Mental Health Act (MHA) or the Mental Capacity Act (MCA). there are some services which we cant rate, while some might be under appeal from the provider. A patient is assessed as posing a significant risk of harm to others or extreme aggression towards property, Internally directed aggression. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. 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. There were times when patients were not well supported and cared for. Some rooms had sensory equipment that was available for people to use. 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. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. Supervision was highlighted as an issue in learning disabilities, older adults and rehabilitation services. Staff did not allow patients to have snacks outside these times. However, we found the following areas of good practice: Published We saw that some staff had different supervisors each month. Company Information; FAQ; Stone Materials. Family and friends telephone line: 01604 614570. examples of figurative language in lamb to the slaughter fashioned biblical definition gonif yiddish definition border patrol hiring process forum 2020 tennessee tech . NN1 5DG. 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. Patients had access to independent advocacy 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 Staff promoted equality and diversity in their support for people. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. We found staff did not always safely manage medicines and act on audit results on three services we inspected. 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 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. At least one standard in this area was not being met when we inspected the service and cassandra jones artist; taiwanese urban legends. 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. Compton is a locked ward for male and female older adult patients. Staff stated that that the training offered by St Andrews was excellent. Staff had not maintained patients dignity. The wards did not have adequate psychology and occupational therapy provision for people on the wards. This ensured learning not just from their own ward but from other services. Staff were not completing risk assessments on Elgar ward, with information being copied between records for different patients. On Bracken ward we observed two incidents where staff had kept the door of the toilet ajar when observing a patient in the day area. Staff told us and plans showed that restraint was used as a last resort and staff tried to de-escalate and divert patients who were becoming distressed or agitated. Staff were not always updating patient risk assessments and care plans at the psychiatric intensive care and long stay rehabilitation wards. We spoke with a senior member of staff who described patients with an eating disorder as not a patient group who inspires excitement. Bayley, a psychiatric intensive care unit with 10 beds for women. 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. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. If you are facing any difficulties, reach out to Mr. Sonu at mgp.ta@flaviant.com with your Payment Receipt and Mobile Number. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. At both Thornton Ward and Spring Hill House the patients had expressed concerns about the heating not being suitable, for example bedrooms and communal rooms being either too hot or too cold. 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. stoc 2022 accepted papers; the forum inglewood dress code; to what extent is an individual shaped by society; astragalus and kidney disease; lake wildwood california rules and regulations; bayley ward st andrews northampton. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. Seclusion facilities were beingused for de-escalation and time out. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing . Arthur; Trick, Kerith Lloyd Kinsey (1989), St. Andrew's Hospital Northampton: the first 150 years, 1838-1988, . This posed a risk to staff and patients if staff were following two different approaches. 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. 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 had not always followed the providers policies and procedures when they needed to search patients or their bedrooms to keep them safe from harm. Each patient will be individually assessed by our dedicated team. Leaders at the long stay rehabilitation services did not have the skills, knowledge and experience to perform their roles. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. We will publish a report when our review is complete. We received the requested assurance. Staff received regular supervision and had received annual appraisal. 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. Mental capacity assessments were not decision specific. Staff administered backslaps and dislodged the food. 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. Your information helps us decide when, where and what to inspect. The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced. St Andrew's Healthcare. nira rodeo standings 2021 10, Jun, 2022. country mart warsaw, mo weekly ad; We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Staff had not always followed the providers policy on patient observations in two services. Each ward had a book dedicated to learning from incidents and complaints generated across the hospital site. Staff did not always record details of restraint techniques used. In adolescent services, one seclusion room had a faulty two-way intercom system. NN1 5DG. 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 Leadership had been strengthened and new ways of working implemented to improve the patient experience. 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. 93%OFF 10OFF BOV2203AP ZETT cannabistrax.com They understood and responded to their individual needs. People had their communication needs met and information was shared in a way that could be understood. People and those important to them, including advocates, were actively involved in planning their care. Patients were involved with their care plans, had good access to physical healthcare and had access to activities organised by the Occupational therapist. 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. Senior managers told us the concerns that triggered the focused inspection were not a surprise and that Seacole was on their watchlist. No rating/under appeal/rating suspended Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. On most wards, staff updated patients risk assessments regularly and included patients individual needs. Staff received annual appraisals and most staff received regular supervision. We're a specialist charity that invests in innovative, patient-centric, holistic care. 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. 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 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 were weekly bed management meetings to review bed numbers. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. The 1999 Winchester City Council election took place on 6 May 1999 to elect members of Winchester District Council in Hampshire, England. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Your information helps us decide when, where and what to inspect. Patients told us that the CAMHS service were insufficiently staffed which meant that they were not always able to have their granted leave. Staffing levels at the time of the incidents were recorded in each report. the service is performing badly and we've taken enforcement action against the provider of the service. 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 had not completed the Elgar ward ligature risk assessment. 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. 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. Police were called to St Andrew's Hospital's Marsh ward at just before 6pm . We found that routine restrictive practices were in place to manage risk, behaviours related to daily care and treatments were measured using generic levels. People had clear plans in place to support them to return home or move to a community setting. Patients on the PICU did not have access to a lockable space in their bedrooms and they did not always have their room key. 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. There were high numbers of vacant posts. Staff had quick access to ligature cutters and pocket masks (for use in mouth to mouth resuscitation) in different areas of the wards. 5 October 2022. In total we spoke with ten patients. Peoples care and support was provided in an environment that was otherwise safe, clean, well equipped, well-furnished and well-maintained which met people's physical needs. 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. People made choices and took part in activities which were part of their planned care and support. Patients had access to independent mental health advocacy. Find and compare services St Andrew's Healthcare St Andrew's Healthcare - Womens Service Independent mental health service St Andrew's Healthcare - Womens Service Overall: Requires improvement Billing Road, Northampton, Northamptonshire, NN1 5DG (01604) 616000 Provided and run by: St Andrew's Healthcare Multidisciplinary teams worked effectively across all wards. Managers had not ensured established optimum staffing levels on all shifts. gotrax scooter not accelerating. Governance, CQC ratings and Annual reports, Child and Adolescent Mental Health (CAMHS), Information for family, friends and carers, LightBulb Mental Wellness for Schools Program, Centre for Developmental and Complex Trauma. Staff Nurse- Deaf ServiceLocation: NorthamptonFull time - 37.5 hoursSalary: 29,062-29,884 depending on experience and preceptorship status + enhancements. Peoples care, treatment and support plans, reflected their sensory, cognitive and functioning needs. 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. Find out more about our inspection reports.
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