the service is performing exceptionally well. When restrictive practices were used, there was a reporting system in place and there were comprehensive reviews to try and reduce the use of these practices. Patients were at risk of not receiving effective care and treatment. Managers had not followed recommendations from an internal investigation into concerns raised. Regulation 18 CQC (Registration) Regulations 2009 Notification of other incidents. Staff received annual appraisals and most staff received regular supervision. Managers ensured that staff had relevant training, regular supervision and appraisal. Not all ward areas at the long stay rehabilitation service and learning disability and autism service were safe, clean and well maintained. The policy around such practice was ambiguous and this was confirmed by the records we viewed. We were concerned that staff were not reporting all safeguarding concerns to the local authority safeguarding team at the forensic and psychiatric intensive care services. Also, staff were not always able to take their breaks and support the activities provision. Let's make care better together. Managers agreed that at times it was difficult to ensure the safety of the ward, whilst meeting the needs of the patients. Practice nurses from the GP surgery attended the wards to address patients physical healthcare needs. 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. Boardman ward is a low secure inpatient ward that can accommodate up to 11 children and adolescent females with complex mental health needs. 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. Risk items were only removed if the patient had informed a staff member and were kept in locked lockers. Managers had not effectively managed the change to the ward profile. Compton is a locked ward for male and female older adult patients. Mental health therapy - Northampton St Andrew's Therapy 24/7 admissions service with decision within an hour of a referral. Staff told us that the chief executive officer visited regularly. A multidisciplinary team worked well together to provide the planned care. Staff did not always record details of restraint techniques used. We told the provider they must provide immediate assurance in relation to staffing levels, staff completing enhanced observations of patients in line with National Institute of Health and Care Excellence guidance and staff reporting incidents and appropriate action is being taken. Patients should be detained under the MHA 1983 (all section papers are checked before accepting admission) and patients are not admitted under section 136. There remain issues around mixed gender accommodation on some older adults wards. fruit), that there was a lack of healthy food options on the menus. We saw evidence in progress notes that staff sought support from the providers physical health team when required. We found that in the CAMHS service prone restraint was still being used when retraining young people. 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. We will publish a report when our review is complete. For example, gaps in environmental checks, long term segregation reviews, and medicines management checks were not followed up. Staff knew and understood people well and were responsive. Leaders at the long stay rehabilitation services did not have the skills, knowledge and experience to perform their roles. Patients were given leave to attend church for private prayers. Patients could also use their own phones to check emails. bayley ward st andrews northampton - domenicoludovico.com With the exception of rehabilitation, adolescent and forensic services, staff monitored the physical health of patients regularly and developed physical health goals and treatment for patients. Western Reserve News This was because of the air exchange system sending columns of cold air directly downwards when the ward gets above 28 degrees. Fairbairn Ward management informed us the electronic system did not allow them to specify staff trained in British Sign Language. Carers reported issues with communication and gave examples of having to battle to be listened to and be involved. St Andrew's Healthcare - Womens Service - Care Quality Commission - CQC Staff administered backslaps and dislodged the food. The service recorded when staff restrained people, and staff learned from those incidents and how they might be avoided or reduced. Two carers told us that the social worker was helpful and another two told us their relative was in the right place for the care and treatment they needed. Nursing and support staff we spoke with in the CAMHS services did not have any understanding of positive behaviour support. There had been an overall decline in the use of agency staff over the preceding 12 months. entry of bacteriophages and animal viruses into host cells. In three services, governance processes in place did not always ensure checks and audits were effective enough to ensure care delivery was improved. The provider had recently implemented a new system for calculating the right numbers of staff required, based on the acuity of patient need. We observed staff not wearing personal protective equipment (face masks) appropriately when on the ward. 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. Managers were visible on the wards and staff felt supported by operational managers and clinical nurse leads. We heard on rare occasions the transport was unavailable leaving both the staff and patient at risk. 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. This meant staff may not be clear what behaviour was expected in certain situation. There were weekly manager and matron meetings to review issues, monthly quality and safety meetings, which included the managers, clinicians and compliance manager. We found in the older adults services that care plans were detailed, personalised and accurate to the care we observed being provided. 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. The provider had removed 26 blanket restrictions following our last inspection. There was a need toassess and treat patients based on individual risk and identified needs, rather than placing emphasis on generic, restrictive risk management processes. 13: . 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. There's no need for the service to take further action. Staff provided a range of care and treatment in line with best practice and national guidance (from relevant bodies e.g. Following our inspection, we issued a letter of intent informing the provider we were considering taking urgent action because of the immediate concerns we had about the safety of patients. This meant senior staff could move staff to where need indicated it was higher on some wards. 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. If negative, the patient can end isolation, but if positive the patient will remain in isolation, see below. Staff provided a range of activities for patients and activities were available seven days a week. 2022 lacrossemits; is randy owens mother still alive cz scorpion evo folding stock fde; cranberry juice for hangoverscant colloid thyroid nodule; 2006 playcraft powertoon; apartments near rivermark plaza; bayley ward st andrews northampton Home Uncategorized gotrax scooter not accelerating. 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. Adolescent service St Andrews Healthcare Northampton Services we looked at: Wards for people with learning disability or autism Adolesc ent ser vic e St Andr ws He althc ar . Staff had not always recorded in the patients clinical records, the rationale for seclusion, or the time that a period of seclusion had ended. 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. People were in hospital to receive active, goal-oriented treatment. Staff on forensic inpatient or secure wards did not always undertake and record physical health observations following rapid tranquilisation. A third carer told us that staff inform them of any issues, that staff keep them in the loop, and described the service was totally and utterly amazing. bayley ward st andrews northampton. However, Naseby in Northampton may be able to admit over the weekend, please contact the ward directly on the number below for an update. Safety was not a sufficient priority across the service. Staff were not completing risk assessments on Elgar ward, with information being copied between records for different patients. Bayley Ward is a Psychiatric Intensive Care Unit within the Women's Mental Health Pathway, based in Northampton. We had identified a similar issue in the June 2016 inspection. Staff did not learn from cleanliness audits. NFHS is committed to protecting its members' privacy. Fairbairn is a 15 bed ward in purpose-built medium secure service which manages deaf or hearing .