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Inspection carried out on 10 Dec to 12 Dec 2019

During an inspection to make sure that the improvements required had been made

We carried out an announced focused inspection of healthcare services provided by Sodexo Limited at HMP Peterborough between 10 and 12 December 2018.

During our last joint inspection with Her Majesty’s Inspectorate of Prisons in July 2018, we found that the quality of healthcare provided by Sodexo Limited at this location required significant improvement, and we issued a Warning Notice to the provider under section 29 of the Health and Social Care Act 2008.

The purpose of this inspection was to determine if the healthcare services provided by Sodexo Limited were meeting the legal requirements and regulations under Section 60 of the Health and Social Care Act 2008 and that prisoners were receiving safe care and treatment.

We do not currently rate services provided in prisons.

At this inspection we found:

  • Sodexo Limited had taken action to address the concerns identified at the last inspection and were now compliant with the Warning Notice issued on 15 August 2018.
  • Medicines management had significantly improved, however medicines reconciliation procedures and emergency medicines were under developed.
  • Sodexo Limited had undertaken a significant review of their structures and governance arrangements; however some work remained in progress at the time of this inspection and we were unable to test its impact.

Inspection carried out on 16 July to 19 July 2018

During an inspection to make sure that the improvements required had been made

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.