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Archived: Risley Prison - IDTS

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Inspection report

Date of Inspection: 15, 16 July 2013
Date of Publication: 16 August 2013
Inspection Report published 16 August 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We carried out a visit on 15 July 2013 and 16 July 2013, observed how people were being cared for, talked with people who use the service and talked with staff. We reviewed information given to us by the provider and took advice from our pharmacist.

Our judgement

People who use the service understood the care and treatment choices available to them.

Reasons for our judgement

A prisoner told us: “This is a brilliant service”.

We looked at what substance misuse services were provided to prisoners at HMP Risley. We wanted to know how prisoners accessed these services, what information was provided to prisoners about the treatments available and how prisoners’ dignity and privacy was supported.

The integrated drugs treatment team was located on one wing in HMP Risley and comprised two teams. One team was a recovery team, providing psychosocial support and counselling to prisoners who wanted to recover and or reduce their addiction. The team also worked with prisoners who were drug free. A second team, providing clinical support to prisoners, was made up of nursing staff and drug recovery workers and provided maintenance and detox services to prisoners who were prescribed methadone and other opiate substitutions.

The nursing team were responsible for the dispensing and administration of methadone to prisoners. We saw that the majority of methadone was dispensed to prisoners on C wing, where there was a facility for prisoners to receive their medication in privacy and without interruption. The privacy and dignity of prisoners using this facility on C wing was upheld.

We found that some prisoners received their methadone on other wings across the prison. We found that facilities on G wing and B wing compromised prisoners dignity and respect. The area on B wing had been previously used for voluntary drugs testing and on the day of our inspection we found this area to be dirty, including a sink area that was used to obtain drinking water to assist prisoners taking their medication. The registered provider may wish to consider along with HMP Risley how they ensure facilities provided for prisoners taking their medication are suitable and promote people’s privacy, respect and dignity.

During our inspection we observed a range of information on substance misuse services displayed in the main healthcare area of HMP Risley. Prisoners told us that when they were first received into the prison they were given information about what substance misuse services were available and how to access the services. We saw that prisoners underwent an initial health screen when they were first received into the prison and this included a review of any alcohol or substance dependency past or present. We saw that information from the health screen was shared with the integrated drugs treatment team who made contact with the prisoner and offered support and/or treatment. This meant that there were a number of ways in which prisoners were informed of what substance misuse facilities were available to them at HMP Risley.