Cranford is a medium secure ward for male older adult patients. 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? 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. The patients' comments were overwhelmingly positive with lots of activities in the unit particularly, pamper sessions where they could get their nails done and access foot spas. Any other browser may experience partial or no support. Some people were not happy about being on the ward because they were detained their under the Mental Health Act 1983. The provider had plans to improve this, but these had not yet commenced. People and those important to them, including advocates, were actively involved in planning their care. Assessment or medical treatment for persons detained under the Mental Health Act 1983. Where necessary, another inspection will be conducted within six months, and if there is not enough improvement we will move to closethe service by adopting our proposal to vary the providers registration to remove this location or cancel the providers registration. Fairbairn Ward management informed us the electronic system did not allow them to specify staff trained in British Sign Language. Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. A female ward c 1920 . Staff and patients reported a smell of sewerage in the ensuite bathrooms of some rooms. People received good quality care, support and treatment because staff were trained to support their needs. 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. People were involved in managing their own risks whenever possible. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. Staff did not record all the medicines they had disposed of. Staff told us that rapid tranquillisation medication was administered most days. Sitwell ward was not following St Andrews Seclusion policy with regard seclusion reviews with patients. Some staff did not demonstrate understanding about appropriate use of seclusion facilities in the learning disability services. 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. Staff did not complete peoples enhanced and general observations in accordance with the provider policy and we found numerous gaps in the observations records. Tallis, Tavener, Althorp, Berkeley Close (1st floor) are male locked wards. Published We would like to show you a description here but the site won't allow us. BayleyWard NSW Unit 10 Level 3 24 Hickson Rd Millers Point NSW 2000. bayley ward st andrews northampton. People and those important to them, including advocates, were actively involved in planning their care. Prior to Strat City's founding and the expansion of FAS, Stadium-of-Northampton was the largest venue in the country, seating 25,000. . We noted ward teams had made improvements to reducing restrictive practice since our last inspection. There was a monthly lessons learnt bulletin for staff. The overall rating for this service has improved to requires improvement. Staff were not always updating patient risk assessments and care plans at the psychiatric intensive care and long stay rehabilitation wards. This is not in line with the providers policy and does not adhere to guidelines by the National Institute for Health and Care Excellence (NG10). Telephone: 01604 614584 Fax: 01604 614578 Family and friends telephone line: 01604 614570 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. St. Andrew's Hospital, Northampton: The First 150 Years (1838-1988) We noted ward teams had made improvements to reducing restrictive practice since our last inspection. Peoples risks were assessed regularly and managed safely. bayley ward st andrews northamptonlaconia daily sun obituaries. The shower areas upstairs did not provide comfort or promote dignity and privacy. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. Community meetings were held weekly services where patients could raise issues related to the ward, minutes were available for us to view. 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. The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced. 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 St Andrews Healthcare Northampton as requires improvement because: Published 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. Staff supported them to achieve their goals. Examples included patients not attending hospital for required emergency medical interventions due to lack of suitable staff to support. Staff took part in a range of clinical audits, benchmarking and quality improvement initiatives. Staff promoted equality and diversity in their support for people. We will publish a report when our review is complete. The wards did not always have enough nurses. chase overdraft fee policy 24 hours; christingle orange cloves; northeast tennessee regional fire training academy; is srco3 soluble in water; basic science topics for nursery 2; bellflower property management; gifts from the holy land bethlehem; Staff did not provide a range of care and treatment options suitable for this patient group. Walton is for male patients with Huntingdons disease. 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. On Seacole Ward, there were errors in the recording of medication administration, Sitwell ward was not consistently documenting patients review of restraint. Maple ward, a 10-bed medium blended secure service for women. 1986-1989 Lee Ward; 1989-1998 Graham Eccles; 1998-2002 Benjamin Saunders; 2003-2008 Philip . Staff on forensic inpatient or secure wards did not always undertake and record physical health observations following rapid tranquilisation. Male or Female Northampton (Monday - Friday 8:30am - 5:30pm) - Tel: 0800 434 6690. 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. Our Carers Centre can be contacted on. St Andrews Healthcare Womens location is registered to provide the following regulated activities: This location has been inspected ten times. Four patients told us that there was a lack of health food options and that the quality of the food was variable. The success gave Northampton an excuse to build a larger stadium, as interest was high in the densely-populated city and the money was coming in. Each ward had a book dedicated to learning from incidents and complaints generated across the hospital site. The provider used bureau (St Andrews bank staff) and agency staff to fill vacant shifts. A multidisciplinary team worked well together to provide the planned care. the service isn't performing as well as it should and we have told the service how it must improve. We also found that risk assessments and Care plans around this restraint were not always in place. Last year it said improvements . 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. Leadership had been strengthened and new ways of working implemented to improve the patient experience. Bayley Ward (VIC) Pty Ltd. BayleyWard VIC (Head Office) 21-23 Chessell St Southbank VIC 3006. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff. Staff did not always demonstrate the values of the organisation when supporting patients. 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. 258. Staff discussed current concerns and risk issues for all patients and agreed on actions required. Some senior staff gave examples of learning from incidents for their ward. The origins of the General Lunatic Asylum later St Andrews Hospital Northampton . However, the service did not always have enough staff which meant that peoples programme of support was not always delivered in time. Staff received training in safeguarding and made appropriate referrals. 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. Staff were confused about what constituted long term segregation and the purpose of using long term segregation. You'll be coming to a world-class facility with its own teaching hospital and academic centre. 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. As a charity working in partnership with others, we are continuously seeking feedback to improve the services we offer. 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). Six out of nine patients said they had been involved in their care planning. People had a choice about their living environment and were able to personalise their rooms. We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. Staff restricted access to patients wishing to use their bedrooms, and this was not individually risk assessed. Each patient had their own en suite bedroom, which they could personalise. We also looked at seclusion facilities and seclusion records, as concerns had been identified at a Care Quality Commission Mental Health Act seclusion monitoring visit on 22 November 2013. We found gaps in hourly observation records on 193 out of a possible 1,008 occasions. Staff did not always keep patients safe from harm whilst on enhanced observations. This included reviewing blanket restrictions, revising professional boundaries, introducing new meeting structures and ward rules. 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 service is performing exceptionally well. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. 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. Compton is a locked ward for male and female older adult patients. The service provided safe care. A new application for a registered manager was in progress at the time of the inspection. One patient was not involved in their care plan. We could detect a strong smell of urine in some bedrooms. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. We carried out this inspection in response to concerning information received through our monitoring processes. In response to a compliance action issued following our last inspection in November 2012 the provider was able to demonstrate that necessary maintenance works had taken place to the wards heating and cooling systems to ensure they were in working order. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. There were no formally reported cases of bullying or harassment when we visited the service. If a patient has been discharged from their MHA detention at short notice, there may be a short period of time during which they remain on the PICU informally until an onward care plan and pathway is arranged. Managers ensured that these staff received training, supervision and appraisal. We found in the older adults services that care plans were detailed, personalised and accurate to the care we observed being provided. At the time of the inspection, the provider had applied to change its registration with the Care Quality Commission to one location instead of multiple registrations across one site. 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. Staff in forensic services did not always document fully what patients had been offered or received. 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. Managers ensured that staff had received training in safeguarding and made appropriate referrals. A relative we spoke with told us the team on the ward liaised well with her relatives professional team in their home area to ensure the care was effective and were accurately informed of their progress. The 1999 Winchester City Council election took place on 6 May 1999 to elect members of Winchester District Council in Hampshire, England. Patients on the PICU did not have access to a lockable space in their bedrooms and they did not always have their room key. People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. Patients will only be admitted to a PICU if they display a significant risk of aggression, absconding with associated risk, suicide or vulnerability (e.g. On PICU, forensic, rehabilitation and older adults wards staff had not uploaded the MHA legal detention papers in full to the electronic system. Staff did not manage patient risks effectively. Browser Support The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Staff engaged in clinical audit to evaluate the quality of care they provided. Staff did not read patients their rights under section 132 of the Mental Health Act in some wards. Our rating of this service stayed the same. Staff did not follow the providers policy and record all the medicines they had disposed of. Facilities and premises used on Elgar and Spring Hill wards were not appropriate for the service being provided. All patients we spoke to stated that they had been involved in the development of both their care and behavioural support plans. Staff did not always follow the providers policy and procedures on the use of enhanced support when observing patients assessed as being at higher risk harm to themselves or others at all core services. Staff used closed circuit television (CCTV) to monitor patients. At least one standard in this area was not being met when we inspected the service and The provider had improved governance systems and carried out recruitment drives to attract staff. the service is performing well and meeting our expectations. Staff did not always follow National Institute for Health and Care Excellence guidance for the use of rapid tranquillisation on Sunley ward. Download full inspection report for St Andrew's Healthcare - Womens Service - PDF - (opens in new window), Published There were recognised difficulties in the learning disability services in ensuring that the wards had the correct staff skill mix for the patients needs. the service is performing exceptionally well. We found that the provider had taken account of our previous inspection findings and had introduced additional quality monitoring measures. On Hereward Wake, this meant that a patient requiring seclusion was being transported to a different location by secure transport. Staff did everything they could to avoid restraining people. 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. People who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols, could interact comfortably with staff and others involved in their treatment/care and support because staff had the necessary skills to understand them. Staffing numbers did not meet establishment levels. 10 June 2020. The providers governance processes had not addressed staff failures to follow the providers procedures on enhanced observations, handovers and safety checks. 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. Most wards were safe, visibly clean, homely and well furnished. In rehabilitation services, staff did not always respond appropriately to a decline in a patients physical health and did not use observation tools to review and assess the response needed. Doctors and nurses did not complete records for all of the reviews as required by the Mental Health Act code of practice. Let's make care better together. These older reports are from our old approaches to inspection, including those from before CQC was created. Staff did not always demonstrate the values of the organisation when supporting patients. It is envisaged that all PICU patients would be detained under the Mental Health Act (MHA) 1983, as admission and detention in a locked PICU environment constitutes a fundamental loss of freedom for an individual. They were also not offered a dental appointment. Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. Staff in forensic services completed regular ligature risk assessments and wards contained very few ligature risks. Staff did not fully complete seclusion records, including physical healthcare monitoring during an episode of seclusion. Bracken ward, a 10-bed medium blended secure service for women. People were protected from abuse and poor care. The policy around such practice was ambiguous and this was confirmed by the records we viewed. We saw rotas which showed the wards were regularly using bank or agency staff, Mackaness had three members or regular staff on duty and six agency staff on the day of our visit. 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. Staff stated that that the training offered by St Andrews was excellent. Staff did not complete care plans for all identified risks. One patient was pleased with the physical health doctor visit, however, was told by staff to use mouthwash but their preference was dental floss. Staff were passionate about their job and knew patients well. Staff trained in British sign language (BSL) were available to patients on Fairbairn ward.
