Managers had implemented additional safety measures following serious incidents, these included updating the ligature audit and assessment following a ligature incident, ensuring staff with specific training were available to provide specialist support to patients and a review of patients access to contraband items. The majority of patients felt they were supported well by the staff team on the ward. We saw patients views were included in care plans and this included relatives where appropriate. 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. Following our inspection, we served an urgent Notice of Decision because of the immediate concerns we had about the safety of patients. People were supported by staff to pursue their interests. Nick Readett-Bayley, graduate of the Bartlett School of Architecture, established BayleyWard in early 2013 having arrived in Australia in 2010. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. A multidisciplinary team worked well together to provide the planned care. . Peoples care, treatment and support plans, reflected their sensory, cognitive and functioning needs. Suspended ratings are being reviewed by us and will be published soon. Male or Female Northampton (Out of office hours) -Please contact the relevant ward directly: There is now updated Covid-19 guidance for healthcare settings, which means there are some changes to the admissions and isolation processes affecting our patients: 1. Managers did not provide a safe environment for patients. Inspection Report published 20 September 2013 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published Each patient will be individually assessed by our dedicated team. And are detained under the Mental Health Act 1983. The origins of the General Lunatic Asylum later St Andrews Hospital Northampton . Staff on the forensic, long stay rehabilitation and learning disability and autism wards did not always treat patients with compassion and kindness. Boardman ward is a low secure inpatient ward that can accommodate up to 11 children and adolescent females with complex mental health needs. 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. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. There were recognised difficulties in the learning disability services in ensuring that the wards had the correct staff skill mix for the patients needs. Nurse managers reported they received prompts from the providers training department when staffs mandatory training or refreshers were due. 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. the service is performing exceptionally well. During our visit we saw some patients engaged in their daily activities, such as participating in current affairs sessions and playing board games with other patients and staff. Wards had seclusion rooms, low stimulus rooms and extra care suites for patient use. the service is performing badly and we've taken enforcement action against the provider of the service. Patients were given leave to attend church for private prayers. 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. On Seacole Ward, there were errors in the recording of medication administration, Sitwell ward was not consistently documenting patients review of restraint. Staff engaged in clinical audit to evaluate the quality of care they provided. All medication included on the ward from admission. We found staff did not always safely manage medicines and act on audit results on three services we inspected. You can also Whatsapp /Call him at 9311740424 The wards did not always have enough nurses. The admissions cannot be carried over to following weeks should an admission not occur. Seacole ward had outstanding maintenance issues. Senior staff monitored incidents and discussed outcomes and learning from them in team meetings. Most staff treated patients with dignity and respect and were responsive to patients individual needs. Staff managed known risks with nursing observations and individual risk assessments. (01604) 616000, Provided and run by: 3. This location consists of four core services: acute wards for adults of working age and psychiatric intensive care units; long stay/rehabilitation mental health wards for working age adults; forensic/inpatient secure wards; wards for people with learning disabilities or autism. 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. This was concerning as staff told us they had been raising concerns since August 2019 and there was still a high occurrence of self harm incidents on our first day of inspection. 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. Irene was also a member of the Sweetbriar Garden Club and British Wife's. Since its establishment in 2012, we have grown to a team of more than 20 architects, interior designers and urban designers working collaboratively with stakeholders to deliver excellence at every level. 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. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. The service had appropriately skilled staff to keep them safe. Staff did not complete peoples enhanced and general observations in accordance with the provider policy and we found numerous gaps in the observations records. Staff supported patients to engage with the wider community. However, a significant number of shifts remained unfilled. the service is performing exceptionally well. Supervisions occurred monthly by peers rather than line managers in some areas. Staff did not always complete physical healthcare monitoring for patients prescribed specific medications and staff did not complete the relevant chart regularly or appropriately. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. 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. Bracken ward, a 10-bed medium blended secure service for women. Click hereto share your feedback. 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. 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. Police were called to St Andrew's Hospital's Marsh ward at just before 6pm . 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. In the learning disability services significant blanket restrictions were seen for example cigarette breaks were taken hourly, drinks were at set times, access to bedrooms were restricted and no access to kitchens or sensory rooms unless accompanied by an occupational therapist. Staff worked well with services and external organisations that provided aftercare to ensure people received the right care and support when they went home. In some services staff did not assess patients capacity to consent to treatment appropriately. This was enhanced with a bleep holder system which reviewed the real time staffing situation in addition to the electronic system. Staff did not always demonstrate the values of the organisation when supporting patients. St Andrews Healthcare Womens location has been registered with the CQC since 11 April 2011. Governance processes did not always ensure that ward procedures ran smoothly. Your information helps us decide when, where and what to inspect. 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. 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. 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. The overall rating for this service has improved to requires improvement. On PICU, forensic, rehabilitation and older adults wards staff had not uploaded the MHA legal detention papers in full to the electronic system. Inspection Report published 29 December 2012 for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published They were respectful in their approach. We're a specialist charity that invests in innovative, patient-centric, holistic care. We looked at the Mental Health Act paperwork for patients and found it to be accurate and complete in all sections. We also found that risk assessments and Care plans around this restraint were not always in place. Multidisciplinary teams worked well together to provide the planned care. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. They were knowledgeable about the principles of PBS and were involved in observing behaviour and reporting to the multidisciplinary team to enable planning. Our PICUs offer a short period of rapid assessment, intensive treatment and stabilisation for people with acute phases of mental illness who are in need of emergency psychiatric care. 37 Berkeley Close, a community rehabilitation unit for women over 18, three beds. A second carer told us that staff keep us up to date, adding that they attend meetings and speak to both the social worker and care coordinator regularly. We rated St Andrews Healthcare Womens service as inadequate because: Published Patients could personalise their bedrooms and had lockable spaces to secure possessions. 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) the service is performing badly and we've taken enforcement action against the provider of the service. fruit), that there was a lack of healthy food options on the menus. Staff supported them to achieve their goals. We found in the learning disability service some care plans were generic and not person centred, in particular the risk safety system. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. He founded Wisden Cricket Monthly and edited it from 1979 to 1996.