the service is performing well and meeting our expectations. Data provided showed a downward trajectory in the use of restraint and in the use of prone restraint. People received good quality care, support and treatment because staff were trained to support their needs. Staff used positive behavioural support plans with patients effectively. Regulation 18 CQC (Registration) Regulations 2009 Notification of other incidents. Bayley, a psychiatric intensive care unit with 10 beds for women. There was a high use of regular bank staff and agency staff. We observed a senior member of staff dismiss a patient who asked to speak with them about safeguarding concerns. 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. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. Staff told us morale was increasing following a period of change over the last two years and told us their managers were supportive. Prone restraint was used only when the patient had requested it in their care planning (some patients prefer to the floor forward instead of backward), the patient had put themselves on in that position or if an injection was required. The provider reported that 1,698 shifts out of 15,788 were unfilled for the period 1 February 2018 to 30 June 2018. Forensic inpatient or secure wards have remained as an overall rating of inadequate. Staff we spoke with knew where information was, however, information was not consistently in the same place for each record. People had their communication needs met and information was shared in a way that could be understood. 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. St Andrew's Healthcare - Womens Service 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 people whose rights are restricted under the mental health act, learning disabilities, mental health conditions and Peoples quality of life was enhanced by the services culture of improvement and inclusivity. They understood peoples cultural needs and provided culturally appropriate care. Treatment of disease, disorder or injury. 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 Here are seven reasons why: 1. This posed a risk to staff and patients if staff were following two different approaches. 7 August 2017, Published Some staff used the Mental Capacity Act to assess capacity for individual decisions. There were weekly manager and matron meetings to review issues, monthly quality and safety meetings, which included the managers, clinicians and compliance manager. examples of figurative language in lamb to the slaughter fashioned biblical definition gonif yiddish definition border patrol hiring process forum 2020 tennessee tech . Staff developed a comprehensive care and personal behavioural plan for each patient that met their mental and physical health needs. Managers had not ensured a safe environment at the learning disabilities service. Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published 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. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced. Whichhem. Managers had not ensured established optimum staffing levels on all shifts. The provider invested in a programme of support to promote staff well-being. The behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. Staff completed annual physical health assessments for all patients and completed standard physical health checks. Regulation 10 Health and Social care Act 2008 (Regulated Activities) Regulations 2014 Dignity and respect. Another patient told us 'they try to give you a healthy diet and we do a lot of exercise groups'. The providers governance processes had not addressed staff failures to follow the providers procedures on enhanced observations, handovers and safety checks. 7: Sir William Wake 9th Bt 17681846 page . 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. Type of organisation Voluntary Sector Service Descripton of organisation In patient Out patient Residential miles (straight line) miles (approximate road distance) Entry last updated Staff promoted equality and diversity in their support for people. 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. Acute and Psychiatric Intensive Care Units. 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 providers governance processes had not addressed staff failures to follow the providers procedures. The origins of the General Lunatic Asylum later St Andrews Hospital Northampton . We're a specialist charity that invests in innovative, patient-centric, holistic care. This is an organisation which is involved in promoting and developing work within the PICU settings. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. Patients regularly had their escorted leave, therapies or activities cancelled because of staff shortages. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. the service is performing exceptionally well. This meant staff could not find the most up to date plan of how to care for people using the service. The provider had not fully responded to the needs of patients on the long stay rehabilitation and learning disability and autism wards. Maple ward, a 10-bed medium blended secure service for women. Staff had not completed seclusion and long-term segregation care plans for all patients. The new ward manager and operational lead had recently started in their posts. There did not appear to be an opportunity for patients to appeal against decisions made about their risk levels, or clear individual behaviour markers and goals for changes in levels. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. Neurobehavioural Rapid Response -We have one male bed available today. However, we did find that improvements were needed to meet full compliance with the regulations in relation to the use of seclusion. Staff at these services were not reporting all incidents and not recording all incidents appropriately. ANMF; Mandalay; Martha Cove; Hobba; Flinders Landing; Apartments We observed staff not wearing personal protective equipment (face masks) appropriately when on the ward. Staff supported people through recognised models of care and treatment for people with a learning disability or autistic people. 220: . 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 . We found examples of poor record keeping of handovers. Hawkins and Makeness wards had recently participated in the overall William Wake House self and peer review parts of the quality network assessment for forensic mental health services. We received mixed comments from the patients that we spoke with over our two day visit. 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. the service is performing exceptionally well. the service is performing well and meeting our expectations. There remain issues around mixed gender accommodation on some older adults wards. Care focused on peoples quality of life and followed best practice. Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. Staff did not manage risks to patients and themselves well. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff. Action Plan 2011 for - PDF - (opens in new window), Annual Statement 2009 for - PDF - (opens in new window), Annual Statement 2010 for - PDF - (opens in new window), Regulatory Assessment Report 2009 for - PDF - (opens in new window), Regulatory Assessment Report 2010 for - PDF - (opens in new window), In . Staff protected and respected peoples privacy and dignity. Some people were not happy about being on the ward because they were detained their under the Mental Health Act 1983. Two services did not make timely repairs to the environment when issues were raised. 5 October 2022. Managers ensured that these staff received training, supervision and appraisal. Four people told us that they liked the food but that the options could be improved. Staff did not always provide patients with information about their rights under the Mental Health Act. The provider had high vacancy rates in forensic, neuropsychiatry, older adults and rehabilitation services. 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. Those that did have care plans on Bradlaugh found that it was not in accessible format. Staff supported people to make decisions following best practice in decision-making. Staff had not received the necessary specialist training for their roles on Sunley ward. People made choices and took part in activities which were part of their planned care and support. 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. Our rating of this service improved. Four patients told us that there was a lack of health food options and that the quality of the food was variable. Occupational health services and a trauma nurse supported staff physical and emotional health needs. Staff had not completed the Elgar ward ligature risk assessment. Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. The provider reported 13 forensic service failure incidents due to staff shortages between 01 September 2019 and 29 February 2020. 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?

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