Staff had not escalated these issues to estates management, leading to an unpleasant environment for patients. we have taken enforcement action. 10 February 2015. There were gaps in records where staff had not signed the entries. Some senior staff gave examples of learning from incidents for their ward. Bayley, a psychiatric intensive care unit with 10 beds for women. Patients told us that there was not enough food, catering staff did not send meals or sent the wrong meals, food was sometimes "mouldy" and was not always cooked properly. the service is performing badly and we've taken enforcement action against the provider of the service. Patients could personalise their bedrooms and had lockable spaces to secure possessions. Staff did not always act to prevent or reduce risks to patients and staff. Staff did not always support patients physical health needs effectively at the longstay rehabilitation and forensic services. Not all seclusion rooms considered the privacy and dignity of patients. If this service has not had a CQC inspection since it registered with us, our judgement may be based on our assessment of declarations and evidence supplied by the service. Of these, 13 incidents related to a lack of suitable or sufficient staff impacting on patients care. an inspection looking at part of the service. Boardman ward is a low secure inpatient ward that can accommodate up to 11 children and adolescent females with complex mental health needs. The admissions cannot be carried over to following weeks should an admission not occur. Staff discussed current concerns and risk issues for all patients and agreed on actions required. No rating/under appeal/rating suspended Doctors and nurses did not complete records for all of the reviews as required by the Mental Health Act code of practice. Three patients told us that the ward had several bank staff. Willow ward, a 10-bed medium blended secure service for women. Psychiatric intensive care service has remained the same as requires improvement. Staff did not always ensure that the privacy and dignity of all patients was respected and maintained. Staff did not receive annual MHA training and the provider could not demonstrate that staff had received training in the revised MHA code of practice. 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 neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. Staff at the longstay rehabilitation service did not always uphold patients dignity in relation to medication and care. Staff did not always keep patients safe from harm whilst on enhanced observations. Prior to Strat City's founding and the expansion of FAS, Stadium-of-Northampton was the largest venue in the country, seating 25,000. . Watkins House a longer term high dependency rehabilitation unit for women over 18, six beds. One patient felt the unit was the safest place ever, and staff were always available when needed but were always busy. Wards had seclusion rooms, low stimulus rooms and extra care suites for patient use. 220: . Monday to Friday 9am to 6pm 03 9695 0222 info@bayleyward.com ABN 32 162 916 467. 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. A mental health hospital in Northampton has been stopped from admitting new patients on some of its wards following a damning CQC report. Staff in the forensic service did not always complete handovers in line with the providers policy and procedures. entry of bacteriophages and animal viruses into host cells. This meant staff may not be clear what behaviour was expected in certain situation. Staff assessed and managed risk well. Managers dealt effectively with poor practice and the provider had made significant improvement in following policy and procedure to deal with outcomes of investigations. Medical staff raised an issue about completing medical reviews for seclusion at night with only one doctor on duty for the site, and a second doctor available until midnight. Contacting the team | University of St Andrews Whilst managers booked agency staff to cover vacancies at short notice this resulted in staff who were often unknown and unfamiliar with the wards and the patients. How many deaths in St Andrews, Northampton? Who is accountable? 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. The provider had high vacancy rates in forensic, neuropsychiatry, older adults and rehabilitation services. 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. We found the following areas the provider needs to improve: Published In the learning disability services there was not a clear and effective system for comprehensive handovers between nursing staff due to the set nursing shifts. Senior managers told us the concerns that triggered the focused inspection were not a surprise and that Seacole was on their watchlist. The complaints process was not always clearly displayed on the wards in formats people can understand. Patients were at risk of continuing harm. We found in the older adults services that care plans were detailed, personalised and accurate to the care we observed being provided. Staff did not allow patients to have snacks outside these times. Northampton, 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 St Andrew's Healthcare. About Us bayleyward Managers sought to embed a culture promoting transparency, respect and inclusivity. Regulation 18 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Staffing. We were told that there were issues around maintaining staff on Fairburn ward who were trained in British sign language (BSL). ForumIAS Mains Open Simulator X One patient was not involved in their care plan. bayley ward st andrews northampton In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. One ward team did not have access to a specialist dietician, which was required to meet the needs of patients. If you are facing any difficulties, reach out to Mr. Sonu at mgp.ta@flaviant.com with your Payment Receipt and Mobile Number. Staff did not always keep patients safe from avoidable harm whilst on enhanced observations on the forensic wards and on the psychiatric intensive care unit. Police were called to St Andrew's Hospital's Marsh ward at just before 6pm . We also found that risk assessments and Care plans around this restraint were not always in place. On Oak ward, we found water stains in bathrooms and showers where water had been left to dry, because the drainage was not sufficient enough to allow the water to flow away. Bayley Ward is a Psychiatric Intensive Care Unit within the Men's Mental Health Pathway, based in Northampton. We found culture had improved, and values of staff were better demonstrated between each other, their teams and caring for people. A new application for a registered manager was in progress at the time of the inspection. A physical healthcare team, based on site, were available during the week to offer support with patients physical healthcare needs. The provider had not ensured that ward areas were always well maintained. Health watchdog bars mental health provider from admitting new - ITVX This was raised on numerous occasions in community meetings with no evidence of any action taken. This included visits from senior managers, support from the providers trauma manager and free access to a confidential helpline. 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 service provided safe care. Managers and staff worked extra shifts to support the wards, which showed resilience and commitment toward delivering patient care. Staff had not completed the Elgar ward ligature risk assessment. The provider did not have an effective management supervision structure. We observed staff searching patients in communal areas on two wards. The provider had improved governance systems and carried out recruitment drives to attract staff. Managers ensured that these staff received training, supervision and appraisal. People were supported to be independent and their human rights were upheld. Contact bayleyward There were recognised difficulties in the learning disability services in ensuring that the wards had the correct staff skill mix for the patients needs. It offers short periods of rapid assessment, intensive treatment and stabilisation for 10 males within a locked setting. 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. If you have used our PICU services,please let us know your views, opinions, thoughts or ideas to help us continuously improve. 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. Staff did not always provide patients with information about their rights under the Mental Health Act. Staff made prompt referrals for any further specialist physical healthcare input. the service is performing badly and we've taken enforcement action against the provider of the service. Staff on forensic inpatient or secure wards did not always undertake and record physical health observations following rapid tranquilisation. As a result, discharge was rarely delayed for other than a clinical reason. bayley ward st andrews northampton - drsujayabanerjee.com The provider was in the process of obtaining funding for renovating the seclusion room. Staff had reported a high number of drug errors in Willow ward. St Andrew's Healthcare - Womens Service Quality Report Billing Road Northampton NN1 5DG Tel: 01604 616000 . Berkeley Close (ground floor) is a female locked ward. Safety was not a sufficient priority across the service. Therapy provision on wards for people with a learning disability was below establishment and affected the delivery of therapeutic activity. The service worked to a recognised model of mental health rehabilitation. St Andrew's Hospital - Wikipedia bayley ward st andrews northampton - ristarstone.com Type of organisation Voluntary Sector Service Descripton of organisation In patient Out patient Residential miles (straight line) miles (approximate road distance) Entry last updated there are some services which we cant rate, while some might be under appeal from the provider. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. We saw leadership at ward manager level. We reviewed 21 care and treatment records for patients. Telephone: 01604 614584 Fax: 01604 614578 Family and friends telephone line: 01604 614570 Staffing levels at the time of the incidents were recorded in each report. A debrief is an opportunity for staff to reflect on the incident, review what action was taken, any immediate lessons learned and to offer support to patients and staff. the service is performing badly and we've taken enforcement action against the provider of the service. The provider was not compliant with the Mental Health Act Code of Practice. 13: . Our Carers Centre can be contacted on. The Bayley Ward team aims to provide a high-qualityservice offering assessment, treatment, care and security for men who are in an acutely disturbed phase of a serious mental disorder. We saw that some staff had different supervisors each month. Qualified Psychologist - Learning Disability & ASD 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. Patients that have received a positive result can end their isolation before the 10 days if they have. 2. Some staff did not know how to access peoples care records on the electronic records system. All patients we spoke to stated that they had been involved in the development of both their care and behavioural support plans. Some staff in the learning disability services told us that there was little engagement with senior managers or the organisations values and they did not feel able to engage with the wider organisational systems. The Pipe Organ Database is the definitive compilation of information about pipe organs in North America. 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). The remaining staff (2%) were out of date with training. On Seacole ward there were issues with controlling temperatures on the ward. Bayley Ward uses medication led model and follows the nursing approach of Safewards which incorporates: Depending on their mental state, patients will be engaged on a suitable OT programme to facilitate recovery.