Staff worked well with services that provided aftercare to ensure people received the right care and support when they went home. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. The service provided care, support and treatment from trained staff and specialists able to meet peoples needs. Newly Qualified / Student Nurse Opportunities within our Deaf Service 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. However, we did find that improvements were needed to meet full compliance with the regulations in relation to the use of seclusion. 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. 30 October 2018, Published Fifty one percent of staff had received Management of Actual and Potential Aggression (MAPA) training and 47% of staff were trained in Prevention and Management of Aggression and Violence (PMAV). People had clear plans in place to support them to return home or move to a community setting. 1769, January 9 - married Catherine Charlton (Sister of Dr. John Charlton) in St . Staff had completed person centred and holistic care plans for 20 patients reviewed. At least one standard in this area was not being met when we inspected the service and, Find out more about our inspection reports, Child and Adolescent Mental Health Services (CAMHS). 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. the service isn't performing as well as it should and we have told the service how it must improve. And are detained under the Mental Health Act 1983. 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. People had a choice about their living environment and were able to personalise their rooms. Staff had not completed the Elgar ward ligature risk assessment. 37 Berkeley Close, a community rehabilitation unit for women over 18, three beds. The provider was required to provide CQC with an update relating to these conditions on a fortnightly basis. One seclusion room did not have a shower and whilst the provider had made progress in the processes to plan, fund and source a shower in the seclusion room, it remained without a shower. Senior managers told us the concerns that triggered the focused inspection were not a surprise and that Seacole was on their watchlist. The managers told us, and we saw the documents to show, they were offering an Aspire campaign, which supported healthcare support workers to undertake their nurse training. St Andrews Hospital is a mental health facility in Northampton, . Staff did not always share clear information about patients and any changes in their care. Senior leaders demonstrated learning by acknowledging that a lesson learnt was to ensure new services have the correct capabilities in place prior to opening and reported that they were making changes following concerns being raised. Suspended ratings are being reviewed by us and will be published soon. People received care, support and treatment that met their needs and aspirations. The provider had not fully responded to the needs of patients on the long stay rehabilitation and learning disability and autism wards. We noted ward teams had made improvements to reducing restrictive practice since our last inspection. Staff used outcome measures such as health of the nation outcome scale and specific tools for acquired brain injury patients. All other conditions outlined in the section 31 notice of decision from July 2021 remained applicable. Services for people with acquired brain injury, Wards for people with a learning disability or autism, Long stay or rehabilitation mental health wards for working age adults, Wards for older people with mental health problems, Acute wards for adults of working age and psychiatric intensive care units. Not all staff in wards for people with a learning disability or autism knew how to find patient information on the electronic record. fruit), that there was a lack of healthy food options on the menus. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. Leaders at the long stay rehabilitation services did not have the skills, knowledge and experience to perform their roles. The provider reported that 1,698 shifts out of 15,788 were unfilled for the period 1 February 2018 to 30 June 2018. 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 on Spencer North did not know where to find the ligature audit. Consultants did not always accurately complete medication consent paperwork (T2 and T3 forms). They minimised the use of restrictive practices and followed good practice with respect to safeguarding. The provider did not have an effective management supervision structure. There remain issues around mixed gender accommodation on some older adults wards. Multidisciplinary teams worked effectively across all wards. Heygate ward Male PICU N'ton Tel: 01604 616 111 Email: SAH.PICUMaleNorthampton@nhs.net, Bayley ward Male PICU N'ton Tel: 01604 614 584 Email: SAH.PICUMaleNorthampton@nhs.net, Audley ward Male PICU Essex Tel: 01268 723 930 Email: SAH.PICUMaleEssex@nhs.net, Frinton ward Female PICU Essex Tel: 01268 723 860 Email: SAH.PICUFemaleEssex@nhs.net, Benfleet ward - Male ACUTE Essex Tel: 01268 723 934 Email: SAH.ACUTEMaleEssex@nhs.net, Naseby ward - Male ACUTE Northampton Tel: 01604 616 179. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. Staff completed annual physical health assessments for all patients and completed standard physical health checks. Carers reported issues with communication and gave examples of having to battle to be listened to and be involved. We will publish a report when our review is complete. They understood peoples cultural needs and provided culturally appropriate care. In forensic services, the receptionist controlled access to three buildings from one reception area and used CCTV monitors to control access. Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. Peoples care, treatment and support plans, reflected their sensory, cognitive and functioning needs. Staff did not always provide patients with information about their rights under the Mental Health Act. Chief Inspector of Hospitals. Northampton mental health clinic banned from having new patients John Reader 09 Jan 1822 Terrington St Clement, Norfolk, England - 08 Feb 1899 managed by James LaLone . 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 We saw patients views were included in care plans and this included relatives where appropriate. Some patients told us they were concerned that sometimes their planned activities, such as outings in the community had been cancelled due to low staffing levels at Spring Hill House. Feedback from focus groups and information received through CQC also reported a bullying culture in some parts of the organisation. The PICU hospital director offered regular open clinical between 7pm and 9pm which were open for staff to attend. Inspectors slammed St Andrew's Healthcare in Northampton following a recent inspection which found the safety, care and leadership at the provider's women services were "inadequate". 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. Patients were at risk of not receiving effective care and treatment. 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. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. One ward lacked appropriate signage and other relevant information for patients with neuro rehabilitation needs. 1998-2011 Richard Tanner (from All Saints' Church, Northampton) 2011-2019 Samuel Hudson; 2019- John Robinson; Organist in . We provide high quality, tailored treatment programmes which are developed to recognise each individuals strengths, needs and risks, with specific emphasis on treating mental illness and starting the recovery process. Not all seclusion rooms considered the privacy and dignity of patients. bayley ward st andrews northampton - Big Bang Blog On Seacole Ward, there were errors in the recording of medication administration, Sitwell ward was not consistently documenting patients review of restraint. St Andrew's Healthcare. Managers did not provide a safe environment for patients. We will publish a report when our review is complete. Provided and run by: St Andrew's Healthcare. . Managers did not share learning from incidents with their teams in the forensic and learning disabilities services. At least one standard in this area was not being met when we inspected the service and Managers and medical staff told us that in recent months they had felt pressurised into accepting patients, who in their clinical opinion, were not suitable. Whilst managers and the health and safety lead had completed ligature audits for Spencer North and Sitwell wards within the last six months prior to inspection, there was no hard copy of the ligature audit and assessment available. PDF Freedom of Information Request Ref: FOI 319-1819 There's no need for the service to take further action. Most staff treated patients with dignity and respect and were responsive to patients individual needs. Billing Road, Northampton, Northamptonshire, NN1 5DG Staff did not complete care plans for all identified risks. Staff and patients spoke highly of the new manager and we observed that positive changes had been made on our second visit. However, we found the following areas of good practice: Published It has defined its key patient outcomes to be rapid stabilisation, crisis resolution, risk-reduction, prevention of relapse and promotion of recovery. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. 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. 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. Staff had not completed care plans that met all the needs of patients with a diagnosed eating disorder. Staff had not always followed the providers policy on patient observations in two services. Staff did not always create care plans for physical healthcare conditions. 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. Child and Adolescent Mental Health Services (CAMHS), Northampton The emphasis is on short-term intensive treatment with regular reviews of progress. Levels of restraint significantly increased since the last comprehensive inspection across the forensic service. Staff used positive behavioural support plans with patients effectively. ANMF; Mandalay; Martha Cove; Hobba; Flinders Landing; Apartments 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. There was no recorded evidence of staff and patients having an immediate debrief following an incident. We also issued requirement notices for breaches of the following regulations: At this inspection, we found that the provider addressed most of the issues from the last inspection of 2021. Staff developed a comprehensive care and personal behavioural plan for each patient that met their mental and physical health needs. The provider had plans to improve this, but these had not yet commenced. ForumIAS Mains Open Simulator X 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. We believe there's nowhere better to start your career than St Andrew's Healthcare. As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. . Staff managed known risks with nursing observations and individual risk assessments. Ex-St Andrew's Healthcare carer spared jail after kissing mental health No rating/under appeal/rating suspended People made choices and took part in activities which were part of their planned care and support. There was a high use of regular bank staff and agency staff. Staff told us that they received de briefs and support after serious incidents. Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. We're a specialist charity that invests in innovative, patient-centric, holistic care. In adolescent services, one seclusion room had a faulty two-way intercom system. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. there are some services which we cant rate, while some might be under appeal from the provider. Staff did not manage risks to patients and themselves well. The leadership and governance did not always support the delivery of high quality, person centred-care. We found the following areas the provider needs to improve: Published Whichhem. There had been improvements since the last inspection. Patients were given leave to attend church for private prayers. The provider recently introduced daily safety huddles involving the whole staff team. Inadequate A new application for a registered manager was in progress at the time of the inspection. Staff completing extended periods of enhanced observations may be less likely to maintain the levels of concentration required to maintain patient safety. People bayleyward However, this was not always the case with night staff on Church ward. The behaviour observations sheets used codes for behaviour and it was not always clear the exact behaviour to which the code referred. 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. PBS care plans were available in paper form for staff to have easy access and in easy read for patients when needed, as well as on the electronic system. 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. Staff on the forensic, long stay rehabilitation and learning disability and autism wards did not always treat patients with compassion and kindness. Staff at these services were not reporting all incidents and not recording all incidents appropriately. Police were called to St Andrew's Hospital's Marsh ward at just before 6pm . It was also revealed that four patients had died on one ward between October 2010 and May 2011 and that all had been prescribed Clozapine. Good The ward managers in the older adults service told us they felt supported in their roles and had excellent support from the directors of the service. Managers and staff worked extra shifts to support the wards, which showed resilience and commitment toward delivering patient care.
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