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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 get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

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

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

One prisoner who used the service told us: “They’re (staff) doing a good job, I’m happy with my treatment”.

Another prisoner said: "...these staff are alright, they look after me".

CRI has been responsible for clinical services at HMP Risley since 2009 and psychosocial services since January 2013.

We spoke with the lead commissioner for offender healthcare in the Northwest from NHS England Lancashire. They told us they had been responsible for commissioning recovery services at prisons across the Northwest since 1 April 2013 and they had not yet had the opportunity to look at the services provided at HMP Risley, though they were not aware of any issues or concerns.

The independent drugs treatment service at Risley was provided by CRI and was available Monday to Thursday between the hours of 7:30am and 7:30pm, and between Friday and Sunday from 7:30am till 3:30pm. There was no out of hours service and any medical emergencies were dealt with by healthcare services.

The aim of the nursing team was to support and assist prisoners to reduce their dependency on methadone and other opiate substitutions and or support prisoners on a maintenance programme. The service lead told us there were approximately 56 prisoners currently undertaking a detox programme and approximately 56 prisoners on a maintenance programme within HMP Risley.

In addition to being referred to the service, prisoners could also ‘self-refer’ to the service, and other healthcare partners and prison staff could also make referrals on prisoners behalf. We were told that prisoners transferring into HMP Risley could also access the service. This mean that prisoners requiring on going treatment and support with substance misuse were guaranteed continuity of care and support in HMP Risley.

Following an initial screen a treatment plan was developed. We looked at a selection of treatment plans. We found that treatment plans were held electronically on Systm One, which was a recording and monitoring system for patient healthcare within the prison. We found that all staff who had contact with a prisoner concerning their health recorded their involvement on the system. This meant that all staff involved with a prisoner were fully aware of what treatment was taking place, what ( if any) risks a prisoner presented along with information about future appointments and review dates.

We saw that recordings on treatment plans were clear, specific and individualised to each prisoner’s care and treatment needs. This meant that prisoners were assured their needs were assessed and treatment was planned and delivered in line with their individual treatment plan.

Following an assessment, prisoners who engaged with the service had access to a range of recovery programmes and therapies including art based therapies. A peer mentoring scheme was in place and this assisted prisoners to remain focused and in treatment. Prisoners in treatment were seen every day and met with a support worker at least once per week for a 30 minute support session. Prisoners told us they found the service beneficial.