Staff did not always ensure that both paper and electronic medicine records were accurate, up to date and correctly identify how staff should give medicines to patients. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. Compton is a locked ward for male and female older adult patients. 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 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. 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. 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. 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 Concerns identified at previous inspections had not always been addressed. They understood and responded to their individual needs. bayley ward st andrews northampton Our rating of this location improved. Northampton, Acorn ward (formerly Bayley) is a ten bed medium secure forensic service for boys with autistic spectrum conditions and / or learning disabilities. Patients told us staff worked hard and were kind to them. The leadership, governance and culture did not always support the delivery of high quality, person centred-care. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. 16 September 2016, Published We found that each patient had a daily schedule of therapeutic activities. please let us know your views, opinions, thoughts or ideas to help us continuously improve. This meant people received compassionate and empowering care that was tailored to their needs. Since 1 February 2019, the Bayley PICU have been trialling body ward cameras on nurses. Our rating of this service stayed the same. Long stay / rehabilitation wards for working age adults: Wards for people with learning disabilities or autism: Wards for people with a learning disability or autism: people said that they felt well supported by kind, caring and engaged staff who were interested in their well-being and did their best to provide them with the support they needed. We saw leadership at ward manager level. Patients had good access to physical healthcare when needed. the service is performing badly and we've taken enforcement action against the provider of the service. 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. Staff on long stay or rehabilitation wards staff did not ensure patients had a care plan in place for the use of rapid tranquilisation. 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. Some staff and patients told us that they did not feel safe on the learning disability wards. There were weekly bed management meetings to review bed numbers. Staff had not completed full assessments for patients with a diagnosed eating disorder prior to admission. Armed police called to Northampton hospital children's ward after However, we reviewed evidence that staff checked quality and temperature before serving food. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding 7 August 2017, Published Males aged between 18 and 65 years old mental health issues that may include: These criteria are a guide for assessing suitability. Staff on the forensic, long stay rehabilitation and learning disability and autism wards did not always treat patients with compassion and kindness. Mental health therapy - Northampton St Andrew's Therapy Those that did have care plans on Bradlaugh found that it was not in accessible format. The provider had not addressed the issue identified in the June 2016 inspection whereby staff were trained in two types of managing aggression and restraint. the service is performing badly and we've taken enforcement action against the provider of the service. 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. Heritage ward is a low secure inpatient ward that can accommodate up to 12 children and adolescent females with complex mental health needs. There were no formally reported cases of bullying or harassment when we visited the service. 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. Andrew ARROWSWORD - 40 - ST Ben LORENNION - 28 - ST Iain CYN . bayley ward st andrews northampton In two services, care plans did not always reflect how to manage patients with physical health issues. Carers reported issues with communication and gave examples of having to battle to be listened to and be involved. The complaints process was not always clearly displayed on the wards in formats people can understand. Care plans were comprehensive and holistic, and contained a full range of patients needs. Managers did not ensure safe and clean environments in the longstay rehabilitation service and learning disability service. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. Hotel and Leisure. People were in hospital to receive active, goal-oriented treatment. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. Managers and staff worked extra shifts to support the wards, which showed resilience and commitment toward delivering patient care. 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. It often occurred that staff were trained up to a level to work with patients, then moved to work on other wards. Patients could personalise their bedrooms and had lockable spaces to secure possessions. 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. On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. 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. Published Staff did not read patients their rights under section 132 of the Mental Health Act in some wards. Last year it said improvements . Irene was a home-maker. Six out of nine patients said they had been involved in their care planning. Peoples care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. There were recognised difficulties in the learning disability services in ensuring that the wards had the correct staff skill mix for the patients needs. Senior Staff Nurse - Deaf Service Job in Northampton, ENG at St Andrew Staff did not ensure that patients had a care plan in place for the use of rapid tranquilisation in line with policies and procedures. 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. Four people told us that they liked the food but that the options could be improved. They minimised the use of restrictive practices and followed good practice with respect to safeguarding. Staff did not provide a range of care and treatment options suitable for this patient group. Bayley, Hugh Beard, Nigel Begg, Miss Anne 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 Brennan, Kevin Brinton, Mrs Helen Pipe Organ Database | Add Organ Revision For family visiting our Northampton site, St Andrew's are able to offer accommodation locally to aid your support of a loved on in our crisis services. Practice nurses from the GP surgery attended the wards to address patients physical healthcare needs. Here are some brief highlights of Dr. Richard Bayley's life: 1745 - Richard Bayley is Born in Fairfield CT. 1765 - 1769 - studied medicine under Dr. John Charlton, son of Reverend Richard Charlton, rector of St. Andrew's Episcopal church, Staten Island. Any other browser may experience partial or no support. Patients should be detained under the MHA 1983 (all section papers are checked before accepting admission) and patients are not admitted under section 136. We found that the CQC had not been sent notifications relating to incidents affecting the service or the people who use it within the learning disability service. 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. Staff completed patients risk assessments in a timely manner and updated these after incidents. The ward staff worked well together as a multidisciplinary team and with those outside the ward who would have a role in providing aftercare. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. Staff had not met all patients physical health needs. Newly Qualified / Student Nurse Opportunities within our Deaf Service the service isn't performing as well as it should and we have told the service how it must improve. 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. Multidisciplinary teams worked well together to provide the planned care. Our team are expert in treating people with acute mental illness and complex needs, offering a range of group and individual therapeutic interventions to meet the patients needs at different stages of their recovery, including: Once risk is reduced and the patients mental state and behaviour has been stabilised, transfer to an appropriate facility will take place we focus on moving individuals on to these services and back in to less secure or community setting as soon as possible. The provider had plans to improve this, but these had not yet commenced. Physical healthcare services included dentistry and podiatry. Most staff treated patients with dignity and respect and were responsive to patients individual needs. We would like to show you a description here but the site won't allow us. Staff received training in de-escalation skills and conflict resolution. Multidisciplinary teams worked well together to provide the planned care. Staff did not follow the providers policy and record all the medicines they had disposed of. Peoples care, treatment and support plans, reflected their sensory, cognitive and functioning needs. Independent advocacy services were available to all patients. A range of psychological therapies recommended by the national institute for health and care excellence was available for patients. The origins of the General Lunatic Asylum later St Andrews Hospital Northampton . 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. The BDMs are the first point of contact for all research proposals to external funding bodies in the UK, EU and Overseas and for research projects with industry. Staff planned and managed discharge well and liaised well with services that would provide aftercare. People were protected from abuse and poor care. We rated it as requires improvement because: Our rating of this service stayed the same. If patients did not understand their rights, staff did not always make further attempts. Seacole ward had outstanding maintenance issues. Regulation 13 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Safeguarding service users from abuse and improper treatment. They provided a range of treatments suitable to the needs of the patients and in line with national guidance about best practice. Multidisciplinary teams worked effectively across all wards. However, one patient told us that staff did not always consider the impact on patients who witnessed the use of restraint. Call for inquiry into deaths of four men at psychiatric hospital Heygate ward Male PICU N'ton Tel: 01604 616 111 Email: [email protected], Bayley ward Male PICU N'ton Tel: 01604 614 584 Email: [email protected], Audley ward Male PICU Essex Tel: 01268 723 930 Email: [email protected], Frinton ward Female PICU Essex Tel: 01268 723 860 Email: [email protected], Benfleet ward - Male ACUTE Essex Tel: 01268 723 934 Email: [email protected], Naseby ward - Male ACUTE Northampton Tel: 01604 616 179. Managers did not ensure all staff received appraisal and supervision at the forensic and learning disability services. 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. A multidisciplinary team worked well together to provide the planned care. Any other browser may experience partial or no support. There were regularly high numbers of bank and agency staff used across these wards. Two carers told us there were not enough staff on the ward and one carer raised concerns regarding the number of male agency staff on duty at night. Bayley ward is a medium secure inpatient ward that can accommodate up to 10 children and adolescent males with learning+ disabilities / autistic spectrum disorder. Nick oversees all areas of architectural design and delivery for the studio with broad experience in residential, commercial, cultural and leisure sectors. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding Two patients told us that they felt the service could benefit from more staff as staff tend to focus more on the patients with the highest support needs. However people using the service and staff spoke of their frustrations when staff were taken off Spring Hill House to work on other wards within the Women's Service. The leadership and governance did not always support the delivery of high quality, person centred-care. 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. The service worked to a recognised model of mental health rehabilitation. We could detect a strong smell of urine in some bedrooms. All our PICU wards are members of NAPICU, and adhere to the NAPICU minimum standards and their admissions criteria. 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. Good Telephone: 01604 614584. We were told that ward community meetings took place and we saw records of the meetings were kept. Staff attended regular team meetings and recorded any actions and outcomes from these. Staff told us that the chief executive officer visited regularly. PDF Freedom of Information Request Ref: FOI 319-1819 We looked at the Mental Health Act paperwork for patients and found it to be accurate and complete in all sections. Who protects the vulnerable voiceless, like Bill, and Kristian, paying 6,000 (4,500 tax free) per week, for their enforced 'treatment'?. Each patient will be individually assessed by our dedicated team. The heating was not working properly. There had been improvements since the last inspection. Home; About Us. Staff assessed and managed risk well. We reviewed ten team meeting minutes from January 2018 and weekly memos from 1 June 2018 sent by managers to staff and there was evidence of one incident being discussed in one meeting. 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 provider told us they shared learning from incidents via alerts sent by email. Staff supported patients to engage with the wider community. The provider had recently changed the local leadership of the ward.
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