Three patients told us that their planned activities had been cancelled. This meant people received compassionate and empowering care that was tailored to their needs. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. Staff throughout the organisation were aware of how to report incidents and we saw good examples of staff learning from the investigation of adverse events. The average price for a property in St Andrew's Road, Northampton, Northamptonshire, NN2 is 155,000 over the last year. The provider had strengthened the implementation of positive behaviour support planning since the last inspection in June 2016. 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 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 had not followed the dysphagia care plan for one patient on Sitwell ward, which had resulted in a choking incident. Staff told us patients snack times on the ward were 11am and 4pm. In total we spoke with ten patients. Four patients told us that there was a lack of health food options and that the quality of the food was variable. Staff at these services were not reporting all incidents and not recording all incidents appropriately. Who protects the vulnerable voiceless, like Bill, and Kristian, paying 6,000 (4,500 tax free) per week, for their enforced 'treatment'?. 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. 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. People received good quality care, support and treatment because staff were trained to support their needs. 10 February 2015. However, we reviewed evidence that staff checked quality and temperature before serving food. Staff did not manage risks to patients and themselves well. The heating was not working properly. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. We believe there's nowhere better to start your career than St Andrew's Healthcare. 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. Concerns identified at previous inspections had not always been addressed. Blanket restrictions were also seen on the CAMHS units, for example on one ward young people were prevented from having sugar and there were restrictions around the length and time of day that young people could make telephone calls. Staff did not read patients their rights under section 132 of the Mental Health Act in some wards. . the service is performing exceptionally well. Staff did not always follow National Institute for Health and Care Excellence guidance for the use of rapid tranquillisation on Sunley ward. If patients did not understand their rights, staff did not always make further attempts. Some staff and patients told us that they did not feel safe on the learning disability wards. Referrals accepted direct from Clinical Commissioning Groups and Foundation Trusts. Sunley and Bayley ward seclusion rooms had blind spots in the ensuite areas. Managers said they felt supported and staff said they felt valued. Staff made prompt referrals for any further specialist physical healthcare input. Staff told us that they received de briefs and support after serious incidents. 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. At least one standard in this area was not being met when we inspected the service and This meant there was no consistency and managers could not be sure that supervisors were addressing performance issues. 220: . Cranford is a medium secure ward for male older adult patients. the service is performing exceptionally well. Managers ensured that staff had relevant mandatory and specialist training, regular supervision and 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. 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. The provider told us they shared learning from incidents via alerts sent by email. the service is performing exceptionally well. We rated it as inadequate because: OConnell ward is a locked ward for male older adults. The providers board had not authorised the use of mechanical restraint, in line with guidance, and staff had not followed care plans in relation to the reporting and monitoring of mechanical restraint. Patients regularly had their escorted leave, therapies or activities cancelled because of staff shortages. 93%OFF 10OFF BOV2203AP ZETT cannabistrax.com Staff arrived late to handovers. On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. Berkeley Lodge, 37 and 38 Berkeley Close and 19 The Avenue are locked units. Patients and staff told us that staff shortages often resulted in staff cancelling escorted leave, hospital appointments and activities across all cores services. We rated it as requires improvement because: Our rating of this service stayed the same. The service did not meet the model of care set out in Right Support, Right Care, Right Culture. Managers ensured that these staff received training, supervision and appraisal. As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. 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. Admission will be based on an individual needs assessment and in some cases patients may be admitted directly to a PICU. 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. Patients described occasions when they were distressed and staff ignored them. To find out more about our PICU services and meet the team, watch our videos below, 2023 - All Rights Reserved St Andrew's Healthcare, 2. No rating/under appeal/rating suspended 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 fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.The service will be kept under review and if needed could be escalated to urgent enforcement action. Fairbairn Ward management informed us the electronic system did not allow them to specify staff trained in British Sign Language. 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 always support patients physical health needs effectively at the longstay rehabilitation and forensic services. People with physical health issues such as epilepsy, did not have appropriate care plans to manage bathing. Staff cared for patients who presented with behaviour that challenged. fruit), that there was a lack of healthy food options on the menus. Harper specialist ward for male and female patients with Huntingdons disease. Staff we spoke with knew where information was, however, information was not consistently in the same place for each record. We heard on rare occasions the transport was unavailable leaving both the staff and patient at risk. Bayley ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning+ disabilities / autistic spectrum disorder. Patients told us that due to high levels of bank and agency staff who did not know them caused them to be cared for and treated differently. The service did not have enough nursing and support staff to keep patients safe at all core services. Patients were given leave to attend church for private prayers. There were regularly high numbers of bank and agency staff used across these 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. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. With the exception of rehabilitation, adolescent and forensic services, staff monitored the physical health of patients regularly and developed physical health goals and treatment for patients. Not all wards had a seclusion facility available for use. 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. Some rooms had sensory equipment that was available for people to use. We had identified a similar issue in the June 2016 inspection. Managers did not ensure staff had the right skills, knowledge and experience to meet the needs of patients with a diagnosed eating disorder. If you have used our PICU services. Phone Number Address in Batavia; 630-239-1985: Container Cylkowski , Highgate Rd, Batavia, Kane 6302391985 Illinois: 630-239-3560: Budragchaa Blagmon, Twilight Ln, Batavia, Kane 6302393560 Illinois: 630-239-2613 Bayley ward - Female PICU Northampton. Our rating of this location improved. There was a high use of regular bank staff and agency staff. Patients could personalise their bedrooms and had lockable spaces to secure possessions. At least one standard in this area was not being met when we inspected the service and The PICU hospital director offered regular open clinical between 7pm and 9pm which were open for staff to attend. The door to the room did not lock and patients needing the toilet could enter. The provider had procedures for children visiting. Staff engaged in clinical audit to evaluate the quality of care they provided. 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 did not always record details of restraint techniques used. an inspection looking at part of the service. Prior to Strat City's founding and the expansion of FAS, Stadium-of-Northampton was the largest venue in the country, seating 25,000. . This was raised on numerous occasions in community meetings with no evidence of any action taken. 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. Contact Research Funding Support Walter Bower House Guardbridge St Andrews Fife KY16 0US Scotland, United Kingdom Tel: Contacting the team Documents RBDC Team Structure (PowerPoint, 45 KB) 24/7 admissions service with decision within an hour of a referral. Staff knew and understood people well and were responsive. Berkeley Close (ground floor) is a female locked ward. Published Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. People and those important to them, including advocates, were actively involved in planning their 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. One carer told us at the moment its great, the social worker is fantastic, and that there were regular updates from staff. please let us know your views, opinions, thoughts or ideas to help us continuously improve. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. We are looking at different ways to indicate the outcomes of our monitoring in the future. 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. St. Andrews Hospital had its own physical healthcare team who saw patients on the wards. 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. There was little evidence that patients or their carers were actively involved in writing or reviewing their care plans on the learning disability wards. 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. 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? there are some services which we cant rate, while some might be under appeal from the provider. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. Chinese Granite; Imported Granite; Chinese Marble; Imported Marble; China Slate & Sandstone; Quartz stone The provider reported that 12% of shifts were unfilled between 01 February 2019 and 31 January 2020. The seclusion room on Church ward did not have shower facilities. On Althorp ward sweets were not allowed and the times for hot drinks were restricted. Not all staff had completed training in the Mental Health Act (MHA) or the Mental Capacity Act (MCA). People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood each persons individual needs. Our four male and female PICU wards are based centrally across Northampton and Essex offering 24/7 rapid assessment, intensive treatment and stabilisation for people with acute phases of mental illness, we aim to give you a decision on your referral within the hour. All patients we spoke to stated that they had been involved in the development of both their care and behavioural support plans. 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 recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. Emma Bayley Mary Ann Baylis 1852 Redditch, Worcestershire, England George Bayliss 1863 Sheffield, Yorkshire, England . However, six patients told us that there were often not enough staff on the ward, another patient said the number of staff on duty on the day of inspection was fake adding that half the staff dont work on this ward. Levels of restraint significantly increased since the last comprehensive inspection across the forensic service. These groups are facilitated by Occupational Therapists, Psychology, Nursing, with sessions also by the Physical Health Nurse, Art Therapist and Advocacy. Patients could access garden areas and open spaces. One patient said,' 'yes the staff are good here they are always ready to have a chat with you'. the service is performing badly and we've taken enforcement action against the provider of the service. entry of bacteriophages and animal viruses into host cells. In 1988 Frith won the Sports Council's British Sports Journalism award as Magazine Sports Writer of the Year. Staff did not provide a range of care and treatment options suitable for this patient group. The neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. 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. We rated St Andrews Healthcare Womens service as inadequate because: Published We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. Regulation 12 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safe care and treatment. Risk items were only removed if the patient had informed a staff member and were kept in locked lockers. Staff supported one patient sensitively on the anniversary of a traumatic life event. Managers agreed that at times it was difficult to ensure the safety of the ward, whilst meeting the needs of the patients. Staff did not always demonstrate the values of the organisation when supporting patients. Staff were trained in the Mental Capacity Act and the Deprivation of Liberties Safeguards (DoLS). There was a range of psychological interventions available for patients which patients were encouraged to attend. 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. Staff discussed current concerns and risk issues for all patients and agreed on actions required. The last comprehensive inspection of this location was in July and August 2021. We found the following areas the provider needs to improve: Published Following our inspection, we served an urgent Notice of Decision because of the immediate concerns we had about the safety of patients. Those that did have care plans on Bradlaugh found that it was not in accessible format. As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. Staff had not escalated these issues to estates management, leading to an unpleasant environment for patients. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. Males aged between 18 and 65 years old mental health issues that may include: These criteria are a guide for assessing suitability. Staff kept some information in paper format. Leadership had been strengthened and new ways of working implemented to improve the patient experience. 20 September 2013. Staff did not record all the medicines they had disposed of. This was particularly high for registered nurses. the service is performing badly and we've taken enforcement action against the provider of the service. Sycamore ward, a 4-bed medium secure enhanced support service for women with learning disabilities and/or autistic spectrum conditions. Seacole ward had outstanding maintenance issues. There were high numbers of vacant posts. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. 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. However, the provider does have various avenues through which staff can raise grievances and concerns. Any other browser may experience partial or no support. The overall rating for this service has improved to requires improvement. Staff provided a range of activities for patients and activities were available seven days a week. Overview Latest inspection summary Multidisciplinary teams worked effectively across all wards. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. Provided and run by: St Andrew's Healthcare. Managers continued with the planned change despite training not being available, due to coronavirus restrictions, and the ward not being sufficiently resourced. Managers did not ensure all staff had the right skills, qualifications and experience to meet the needs of the patients in their care on the forensic wards and learning disability and autism wards. Staff had not completed seclusion and long-term segregation care plans for all patients. Tallis, Tavener, Althorp, Berkeley Close (1st floor) are male locked wards. The multi-disciplinary team had not conducted reviews as required. Medical staff told us clinical decisions were made at a senior level without any evidence based rationale or consultation at a clinical level. The unit had a shared electronic device which patients could use to make video calls and a shared phone. 2. Billing Road, Northampton, Northamptonshire, NN1 5DG The electronic system was difficult to navigate to find key documents such as PBS reports and some plans. 13 February 2012. Staff did not always follow the providers policy and procedures on the use of enhanced observations when supporting patients assessed as being at higher risk of harm to themselves or others. Staff did not always treat patients with kindness, dignity and respect. 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 . A mental health hospital in Northampton has been stopped from admitting new patients on some of its wards following a damning CQC report. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need.