The five questions we ask and what we found
Are services safe?
We did not inspect the safe domain in full at this inspection. We inspected only those aspects mentioned in the Requirement Notice issued on 9 February 2018.
At this focused inspection we found that whilst some improvements had been made in some areas of medicines management, we identified new concerns and found evidence that medicines were still not managed properly and safely.
At this focused inspection we found that systems were in place to identify patients with long term conditions, however care plans were not in place for these patients.
Are services effective?
We did not inspect the effective domain at this inspection.
Are services caring?
We did not inspect the caring domain in full at this inspection. We inspected only those aspects mentioned in the Requirement Notice issued on 9 February 2018.
At this focused inspection we found that Sodexo Limited had taken adequate action to address the concerns identified during our last inspection, and the standard of record keeping had improved to better demonstrate that patients were involved in decision making about their care.
Are services responsive to people’s needs?
We did not inspect the responsive domain at this inspection.
Are services well-led?
We did not inspect the well-led domain in full at this inspection. We inspected only those aspects mentioned in the Requirement Notice issued on 9 February 2018.
At this focused inspection we found that Sodexo Limited had taken adequate action to address the concerns identified during our last inspection in respect of complaints management. Patients could complain to healthcare confidentially, and the governance of complaints was much improved.
However, we found evidence that some governance systems and processes still did not effectively assess, monitor and improve the quality of services provided. A number of risks which we identified during our inspection, for example in relation to medicines management, had not been identified or acted upon by Sodexo Limited.
During this inspection we found that whilst some improvements had been made, in other areas the provider had not taken sufficient action to address the areas we previously identified as requiring improvement. As a result of this, we took enforcement action and issued the provider with a Warning Notice under Section 29 of the Health & Social Care Act 2008.
Action the provider MUST take to improve
- The provider must ensure that medicines are managed safely and consistently at all times across the prison.
- The provider must ensure that care plans are in place to evidence the ongoing care and treatment for patients with long term conditions.
- The provider must ensure that governance systems and processes effectively assess, monitor and improve the quality of services provided.