HMP Long Lartin

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

We looked at 1 quality statement in this key question. The provider had made improvements and now had safe systems in place to ensure patents received appropriate care.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Learning culture is based on the latest evidence we assessed for the Safe key question.

At the last inspection we found patients who declined treatment for terminal illness did not have thorough plans in place to guide staff when caring for a patient. When we carried out this inspection there were no patients receiving end of life care, however several systems had been put in place to ensure those patients who may be approaching end of life care did so in line with their wishes. For example, patients with cancer were now allocated a named nurse to oversee their care, and they were reviewed in a weekly multi-professional complex case meeting every week. Managers had adopted a tracker to record patients’ cancer diagnoses, referrals and appointment history. This meant that managers had improved oversight of patients with cancer.

Staff we spoke with understood the process for a patient wishing to complete a DNACPR (Do not attempt cardiopulmonary resuscitation) form. One patient had an active DNACPR and comprehensive care planning on their medical record to clearly guide staff in how to care for them. Managers felt that the team were skilled at having difficult conversations with patients when there was a clinical indication to complete a DNACPR. Staff raised any patients with an active DNACPR in the daily handover so that the wider team were aware.

At the last inspection care plans were not accessible to staff and some staff did not know where patient care plans were stored. Staff we spoke with this time told us they knew where care plans were always stored on medical records and they were able to access these easily and without delay. Care plans we reviewed were routinely recorded in the expected location on the electronic record and gave a clear picture of the patient’s wishes and care to be provided.

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe environments is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe and effective staffing is based on the latest evidence we assessed for the Safe key question.

The judgement for Infection prevention and control is based on the latest evidence we assessed for the Safe key question.

The judgement for Medicines optimisation is based on the latest evidence we assessed for the Safe key question.