the service is performing badly and we've taken enforcement action against the provider of the service. The feedback received from people who used services and their visitors was generally positive about their experiences of the care and treatment provided by the provider. The provider had plans to support 20 staff a year in this scheme. During our visit, we witnessed several occasions where staff responded to patients distress and they did so discreetly and appeared to be always mindful of the patients dignity. Managers said they felt supported and staff said they felt valued. They said there was good access to the medical team and opportunities to discuss their ongoing care and treatment with the psychologists' at St Andrew's Healthcare. Agency nurses employed to make up the shortfall did not all have access to the electronic prescribing system to administer medicines. 16 September 2016, Published Mental health therapy - Northampton St Andrew's Therapy Physical healthcare services included dentistry and podiatry. Staff received annual appraisals and most staff received regular supervision. The Child and Adolescents Mental Health service is now based in Smyth House, a refurbished building situated on St Andrew's Healthcare Northampton site. Any other browser may experience partial or no support. 'Repeated failings' at St Andrew's Healthcare mental health charity - BBC In forensic inpatient or secure wards, patients did not have access to hot and cold drinks and had set times for vapes and no access to mobile phones. We will be working with them to agree an action plan to help improve the standards of care and treatment. 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. The provider had not ensured that all risk assessments and care plans were in place and updated consistently in line with changes to patients needs or risks. We will publish a report when our review is complete. We observed interactions between staff and patients during the inspection and saw that staff were responsive to patient's needs. Not all staff felt they could raise concerns without fear of retribution from senior managers. Map and contact details. CQC stops new patients at some St Andrew's Healthcare wards We also found that risk assessments and Care plans around this restraint were not always in place. Provided and run by: St Andrew's Healthcare. Staff understood and discharged their roles and responsibilities under the Mental Health Act 1983 and the Mental Capacity Act 2005. We found 4 incidents of staff sleeping on duty on Fairbairn ward. Billing Road, Northampton, Northamptonshire, NN1 5DG (01604) 616000. 10 November 2021 Inspectors found understaffing at St Andrew's Healthcare was "a significant concern" A mental health hospital has been prevented from taking new admissions on some of its. 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. Most wards were safe, visibly clean, homely and well furnished. In one service, enhanced observations were not always completed in line with the providers policy and guidelines by the National Institute for Health and Care Excellence. Compliance with safeguarding training was 100% on Fairbairn ward and 80% on Heygate ward. The standards of cleanliness were poor on three wards and the issue had not been identified through the providers own monitoring system. We heard on rare occasions the transport was unavailable leaving both the staff and patient at risk. The regulator reinspected the men's and women's services at the site in July and August to see if improvements had been made since . However, monitors were visible to staff from the office and to patients on entering or leaving the adjacent low stimulus room. The standard of record keeping was poor in forensic and rehabilitation services. Staff told us when shifts were not filled, staff moved between wards to meet patient need or wards worked short of staff. One person said sometimes their escorted leave had been cancelled due to staff shortages. Forensic secure services St Andrew's Healthcare We were concerned that not all care and treatment was patient centred and relevant to the patient group. St Andrew's Northampton prevented from admitting patients without CQC The psychiatric intensive care ward, forensic wards and learning disability and autism wards did not always have enough nursing and support staff to keep patients safe and the wards were regularly short staffed. The ward was dirty, cluttered, poorly maintained and in need of redecoration. We saw that each ward had a team of staff involved in people's care and treatment, which included psychiatrists, psychologists, nurses, occupational therapists, qualified mental health nurses and health care assistants. As a result, discharge was rarely delayed for other than a clinical reason. Staff did not always provide a range of care and treatment suitable for the patients in the long stay rehabilitation wards and learning disability and autism wards. Wards had a variety of rooms for patients to use including quiet, therapy, fitness and activity rooms. the service isn't performing as well as it should and we have told the service how it must improve. The feedback received from people who used services and their visitors was generally positive about their experiences of the care and treatment provided by the . We rated the safe domain as requires improvement because we found the following: We rated the well-led domain as requires improvement because we found the following: In the core services inspected we saw evidence of good practice. She says he endured fortnightly restraints and forced injections. This ensured learning not just from their own ward but from other services. Care and treatment records were incomplete for one patient who had long term physical healthcare needs. At least one standard in this area was not being met when we inspected the service and Staff treated patients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of patients. The service has a registered manager and a controlled drug accountable officer. People who use the services, staff and external stakeholders told us of new initiatives and plans to develop the service. There were issues with the use of and recording of seclusion. St Andrew's Healthcare - Consultancy Service 1-586476807 Broom Cottage 1-6482830869 . Care records confirmed that the room was used regularly and recently. There were gaps in records where staff had not signed the entries. We found the staffing issue had improved at our last inspection of these services in June 2022, and there was evidence of slow but continued improvement since our last inspection. We rate most services according to how safe, effective, caring, responsive and well-led they are, using four levels: Outstanding Staff and patients were reporting a much-improved picture since our last inspection. CV37 8JZ. Johnny Brady, who was given a hospital order for a serious assault in Derby, absconded from St Andrew's Healthcare facility in Northampton on New Year's Eve. On the learning disability ward some staff did not know the safeguarding process or where they could find out about current ward issues. The inspection team consisted of one CQC compliance inspector and a mental health specialist advisor. Staff liaised well with services that would provide aftercare and were assertive in managing care pathways for patients who were making the transition to another service. We rated St Andrews Healthcare overall as requiring improvement because we identified concerns in both the safe and well-led domains. Some seclusion records were missing and staff could not find them. 24 February 2023. This meant that arrangements were in place to ensure people were supported by appropriately qualified and skilled staff. the service is performing exceptionally well. Managers used key performance indicators to monitor their wards performance. Billing Road, Northampton, Northamptonshire, NN1 5DG (01604) 616000. Some senior staff gave examples of learning from incidents for their ward. We witnessed one occasion in one service where staff used language that did not promote the dignity or respect one person who used the service. the service is performing exceptionally well. Facilities did not meet patient needs; disabled facilities were not easily accessible. Mental capacity assessments were not decision specific. Most patients did not have a copy of their care plan or knew what their goals were. St Andrew's Healthcare was providing a caring service for people across all locations. Referrals to the physical healthcare team for out of hours admission were not always robust. Staff did not always develop person centred care plans that reflected patients involvement or views. Doctors advised that they were not always able to complete seclusion reviews within the timescales required by the Mental Health Act code of practice. The provider had improved pay and conditions for staff and had measures in place to address both recruitment and retention of staff. We identified that retrospective entries had been made in a seclusion record. It had run many recruitment fairs in an attempt to attract staff to work at St Andrews and staff were being recruited. Northampton mental health clinic banned from having new patients Staff told us morale was increasing following a period of change over the last two years and told us their managers were supportive. Staff at the learning disability and autism wards were unable to define a closed culture or describe how they ensured patients were protected from the risks associated with a closed culture developing. The provider is required to provide CQC with an update relating to these issues on a fortnightly basis. Managers had not ensured that all patients requiring observation had appropriate care plans. Inspection Report published 16 January 2013 for St Andrew's Healthcare - Mens Service - PDF - (opens in new window), Published Some staff and patients told us that they did not feel safe on the learning disability wards. MHA administrators had a thorough scrutiny process. However the organisations vision and values were not fully embedded across the provider. Registration details. Senior managers are managers above ward manager level. This was particularly high for registered nurses. A controversial mental health unit remains in special measures after being rated "inadequate" for the second consecutive time. Whilst the ward had a garden area allocated, this was located away from the ward and was not easily accessible. At the time of our visit, 91% of staff in the mens service had completed Management of Actual and Potential Aggression training. The provider had a care awards initiative to celebrate success and improve the quality of care across services. Fairbairn Ward management informed us the electronic system did not allow them to specify staff trained in British Sign Language. 27 March 2017. St Andrews Healthcare was providing a caring service for people across all locations. Staff engaged in local and national quality improvement activities. However, on a return visit the provider had deep cleaned and de-cluttered the ward. Not all ward areas at the long stay rehabilitation service and learning disability and autism service were safe, clean and well maintained. We observed staff searching patients in communal areas on two wards. Staff had good access to training and received the necessary specialist training for their roles. Staff in forensic services completed regular ligature risk assessments and wards contained very few ligature risks. Services had carried out significant work on improving the culture on the wards, had visible local and senior leadership and had improved governance systems to monitor service delivery. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. We found in the older adults services that care plans were detailed, personalised and accurate to the care we observed being provided. Forensic secure services Forensic secure services St Andrew's provides a comprehensive range of medium and low secure care, through innovative services, to help support patients with complex needs. Staff felt well supported by their immediate line managers. The provider had improved governance systems and carried out recruitment drives to attract staff. 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. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff. We found ligature risk and environment audits were undertaken every six months We saw that some ligature risks had been identified and there were contingency plans in place to manage these. We saw that St Andrew's Healthcare had an on-going staff recruitment programme and on the first day of our visit we saw that staff interviews were taking place. On Seacole Ward, there were errors in the recording of medication administration, Sitwell ward was not consistently documenting patients review of restraint. BackgroundtoStAndrew'sHealthcare-MensService StAndrew'sHealthcareNorthamptonhasbeenregistered withtheCareQualityCommissionsince11April2011.The CQC takes action at St Andrew's Healthcare following inspections at men Leadership and governance arrangements across all core services had not addressed previous issues or ensured concerns were identified and acted on. 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. We rated Mens services as requires improvement because: Published The provider had not ensured all medical equipment was regularly tested to check it was in working order. It is also under fire in a Channel 4 Dispatches programme tonight, which will focus on use of restraint and anti-psychotic drugs. The neuropsychiatry services used positive behavioural therapy for the rehabilitation of patients with acquired brain injury. We are St Andrew's, a mental health Charity. Not all seclusion rooms considered the privacy and dignity of patients. Several concerns were raised at St Andrew's Healthcare, based in Northampton, following an inspection by the Care Quality Commission (CQC). Staff worked well together to meet peoples needs and that they were able to respond to individual needs and preferences. The provider had ongoing recruitment and retention programmes to attract new staff. Data showed a downward trend in the use of restraint, with the provider reporting a reduction in restraint by 32%, and a reduction in the use of prone restraint by 38%. The site hosts the National Brain Injury Centre and Fitzroy House, and provides a range of specialist services for men, women and young people. Staff working in the neuropsychiatry services had an understanding of current NICE guidelines. We are looking at different ways to indicate the outcomes of our monitoring in the future. On Heygate ward, night staff implemented a blanket restriction without clear rationale. 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. The provider managed risks and identified and investigated safeguarding concerns. Staff stated that that the training offered by St Andrews was excellent. They told us that the staff treated them with respect. 25 February 2014. St Andrew's Healthcare Jobs in Northampton - 2023 | Indeed.com Suspended ratings are being reviewed by us and will be published soon. The ward teams included or had access to the full range of specialists required to meet the needs of patients on the wards. St Andrew's Healthcare - Mens Service - Care Quality Commission The services have a registered manager and a controlled drug accountable . Latest inspection summary. Staff throughout the organisation were aware of how to report incidents and we saw good examples of staff learning from the investigation of adverse events. Restraints and forced injections Isabelle Garnett's son Matthew, 19, spent almost two years at St Andrew's, Northampton. Marsh and Meadow St Andrew's Healthcare Find out more about our inspection reports. 2 St Andrew's Healthcare - Womens Service Inspection report Managers ensured that staff had relevant mandatory and specialist training, regular supervision and appraisal. Ex-St Andrew's Healthcare carer spared jail after kissing mental health Some patients spoke of taking part in an allotment and music group. We were pleased to hear that a permanent post was now in place for a lead Freedom to Speak up Guardian and we heard the vision to develop further the awareness for staff on the role and how to speak up. Patients told us that they felt the wards could be cleaner and the furniture in places was damaged and not replaced. Mansfield, NG18 4GW t: 01623 665 280 St Andrew's Northampton Billing Road, Northampton, NN1 5DG t: 01604 616 000 stah.org St Andrew's Birmingham Dogpool Lane, Stirchley, . Staff did not always ensure patients physical healthcare needs were met at the forensic wards and learning disability and autism wards. 10 November 2021 Inspectors found understaffing at St Andrew's Healthcare was "a significant concern" A mental health hospital has been prevented from taking new admissions on some of its. Staff treated patients with kindness, compassion and respect. Both wards showed that while nursing shifts had not started with the planned number of staff, managers filled gaps with known bank staff to bring staffing levels up to safe numbers. 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. In the May 2017 inspection we identified the following concerns. In adolescent services, one seclusion room had a faulty two-way intercom system. Telephone: 01604 616000 Our headquarters are based in Northampton. On PICU, forensic, rehabilitation and older adults wards staff had not uploaded the MHA legal detention papers in full to the electronic system. GP - 1-121538225 St Andrew's Healthcare - CQC Seclusion records reviewed did not always include sufficient recording to demonstrate that all of the safeguards under the Mental Health Act code of practice had been met. 06 Mar 2017 Care for vulnerable adults - has anything changed since Winterbourne View? We visited Bradlaugh, Ferguson and Fairbairn wards. We spoke with seven patients and they all expressed satisfaction with the care and treatment they received at the hospital. Child and Adolescent Mental Health Services (CAMHS) St Andrew's Healthcare - Children and Adolescents Mental Health - CQC Provided and run by: We are carrying out a review of quality at St Andrew's Healthcare - Womens Service. Staff did not always follow infection control principles. Wards had fully equipped clinic rooms with access to resuscitation equipment, which was regularly checked and maintained. Telephone (01604) 616000 Website https://www.stah.org Similar services nearby. Staff were aware of the providers whistleblowing policy and were confident they could raise concerns without fear of reprisals. The CQC first rated it "inadequate" in March and April 2019. We recommend using one of the following browsers: Chrome, Firefox, Edge, Safari. the service isn't performing as well as it should and we have told the service how it must improve. Annual Report and Financial Statements 2017. Any other browser may experience partial or no support. Wards had a range of rooms for care and treatment and rooms for patients to meet visitors in private. We will publish a report when our review is complete. Northampton-based St Andrew's Healthcare must seek approval from the CQC if it wants to admit new patients following an inspection in July. Staff had received specific training to carry out their role, such as dementia training and end of life care. Staff used closed circuit television (CCTV) to monitor patients. St Andrews Healthcare Nottinghamshire: Between 2 and 4 October 2018, and 8 and 9 October, the Staff were able to describe action they would take if they had safeguarding concerns. These plans were often not discussed with or explained to the patient in a way that they understand. We have dedicated gender-specific services for men, women, and age-specific services for older adults and adolescents. Appraisal of performance was undertaken annually. The electronic system was difficult to navigate to find key documents such as positive behaviour support plans. We brought this to the attention of a manager. Sitwell ward was not following St Andrews Seclusion policy with regard seclusion reviews with patients. In some wards, Mental Health Act 1983 (MHA) paperwork was in order and stored securely. We found an occasion when staff undertook patient observations for long periods of time without a break. 16 January 2013. 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. Staff told us they knew the whistleblowing policy and felt they could raise concerns without fear of victimisation. There was a lack of consistent management on Foster and Harlestone wards. Many staff described patients as being in extra care when in fact they were either secluded or in long term segregation. St Andrew's Healthcare - Womens Service - Care Quality Commission There were weekly bed management meetings to review bed numbers. CQC inspectors, an assistant inspector, and a national professional advisor who is a consultant psychiatrist with learning disabilities experience. Even though we found that the board assurance framework and charity wide risk register, had identified many of the risks during our inspection. Patients did not have direct access to outside space. During our visit we saw that six patients from Upper Harleston ward were out on escorted leave to Milton Keynes shopping centre to do some Christmas shopping.

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