• Mental Health
  • NHS mental health service

Bracton Centre Medium Secure Unit

Bracton Lane, Dartford, Kent, DA2 7AF (01322) 297166

Provided and run by:
Oxleas NHS Foundation Trust

All Inspections

Other CQC inspections of services

Community & mental health inspection reports for Bracton Centre Medium Secure Unit can be found at Oxleas NHS Foundation Trust. Each report covers findings for one service across multiple locations

28 March 2023

During an inspection looking at part of the service

We carried out an announced focused inspection of healthcare services provided by Oxleas NHS Foundation Trust at HMP Maidstone to follow up on the Requirement Notice issued after our last inspection in October 2022. At the last inspection, we found the quality of healthcare provided by Oxleas NHS Foundation Trust at this location required improvement. We issued a Requirement Notice in relation to Regulation 12, Safe Care and Treatment and Regulation 17, Good Governance.

The purpose of this focused inspection was to determine if the healthcare services provided by Oxleas NHS Foundation Trust were meeting the legal requirements and regulations of the Requirement Notice under Section 60 of the Health and Social Care Act 2008 and that patients were receiving safe care and treatment.

At this inspection we found the required improvements had been made and the provider was meeting the regulations.

We do not currently rate services provided in prisons. We highlight good practice and issues that service providers need to improve and take regulatory action as necessary.

At this inspection we found:

  • The service provided safe care. Staff assessed patient needs accurately, and effectively managed referrals to secondary care services.
  • Staff followed systems and processes to record, store and administer medicines safely. Oversight from pharmacy leaders had improved.
  • Staff used translation services to meet the needs of patients.
  • Governance processes operated effectively at team level and performance and risk were adequately managed.

20 Aug to 21 Aug 2019

During an inspection looking at part of the service

We carried out an announced focused inspection of healthcare services provided by Oxleas NHS Foundation Trust at HMP Maidstone on 20 and 21 August 2019.

Following a joint inspection with Her Majesty’s Inspectorate of Prisons (HMIP) in October 2018, we found that the quality of healthcare provided by Oxleas NHS Foundation Trust at this location required improvement. We issued Requirement Notices in relation to Regulation 9: Person-centred care, and Regulation 17: Good governance, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The purpose of the inspection was to determine if the healthcare services provided by Oxleas NHS Foundation Trust were now meeting the legal requirements of the above regulations, under Section 60 of the Health and Social Care Act 2008.

We do not currently rate services provided in prisons.

At this inspection we found that:

  • Oversight and management of patients with long-term health conditions had significantly improved, including the development of care planning, prompt assessment of need and on-going assessment, and the development of clear care pathways.
  • A regular clinical audit schedule was now embedded in practice to help managers assess and monitor the quality and safety of services being provided.
  • A range of regular staff meetings were now taking place, and routine review of incidents and dissemination of learning was evident.

16, 17 June 2014

During a routine inspection

Oxleas NHS Foundation Trust had taken over the service in April 2014. It had not been able to implement all the changes that were envisaged and was working under a severe shortage of healthcare staff. It was responsible for primary health care services and worked with other providers including GPs, mental health and substance misuse services.

The young men we talked with said that they respected the healthcare professionals who cared for them. They felt the application forms to see various healthcare providers were easy to complete. They said that it was easy for them to see the nursing staff but less easy to see the GPs. They felt that sometimes hospital appointments took too long to arrange.

26, 27 September 2013

During a routine inspection

During our inspection we visited Crofton, Joyden and Birchwood clinics. People we spoke with told us they felt the Bracton Centre and staff provided care and support to meet their individual needs. Some people were very positive and told us how the staff were very helpful and listened to them. People also said that they had been able to achieve some qualifications and had been supported to produce some art work that had received an award. For example a person told us that staff are "the staff are exceptional and I wouldn't have been towards independence without their help' and someone else commented "staff are always approachable".

We found that most people had access to information about the mental health act and advocacy, and there was evidence that some people were involved in their care planning. People received care that met their needs, and the provider had systems in place to ensure the quality of the service and carried out regular audits on the care people received. There were policies and procedures in place for staff to manage seclusion if required and for the reporting of incidents or safeguarding concerns. Medicines were administered and stored safely.

16 September 2013

During a themed inspection looking at Offender Healthcare

We visited Blantyre House with Her Majesty's Inspectorate of Prisons (HMIP) and looked at the ways the healthcare service were delivered to prisoners at this specific location. We found that the Trust provides some mental health services as well as primary care such as general nursing, dentistry and GP provision.

We found that the patients were involved in planning their treatment and making decisions about their health care. Clear information was given and the service was accessible to all those who required it.

We spoke with patients who told us they were happy with the service they received and were able to access appointments and specialist help easily when needed. We found most areas of the healthcare centre to be clean and hygienic although some minor improvements were needed to the dental surgery.

We found that medicines were prescribed, stored and managed appropriately and the necessary systems were in place and were followed in relation to the distribution and administration of medication. There were audits in place to monitor the performance of the service in various areas although there were some limits to the opportunities for patients and staff to give feedback on the overall service.

6 July 2011

During a routine inspection

People who use the service told us during our visit on 6 July 2011 that staff involved them in planning their treatment and care and helped them to become more independent. They said that staff treated them well. They had regular contact with staff and felt able to make comments or complaints about the service to them. People told us their privacy and dignity were respected.

People were given information about the medicines they were taking and were monitored for any possible side effects.

People also told us that they chose what they wanted to eat, and that the premises were cleaned regularly and were well maintained.