Foston Hall Prison (Health Care Centre)

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We assessed 1 quality statement for this key question. We found the service had made sufficient progress to address the regulatory breaches found at our previous assessment.

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

The judgement for Shared direction and culture is based on the latest evidence we assessed for the Well-led key question.

The judgement for Capable, compassionate and inclusive leaders is based on the latest evidence we assessed for the Well-led key question.

The judgement for Freedom to speak up is based on the latest evidence we assessed for the Well-led key question.

The judgement for Workforce equality, diversity and inclusion is based on the latest evidence we assessed for the Well-led key question.

At our previous inspection, we found the provider’s risk register did not include all risks identified during the inspection including those issues highlighted above.

At this assessment, we found improvements had been made. A comprehensive review of the healthcare risk register, controls and outstanding actions had been completed and discussed at both the local delivery board and with commissioners to ensure a partnership approach and oversight. During this assessment we found that the risk register was reflective of the concerns.

At our inspection we found that patient records were not always accurate, complete and contemporaneous in respect of each patient, including a record of the care and treatment provided to the service user and of decisions taken in relation to the care and treatment provided.

At this assessment, we found improvements had been made. A staff engagement event had been held in September 2025 to support staff to understand Nursing and Midwifery Council (NMC) record keeping standards. A record keeping self-audit tool had been developed and staff will have the opportunity to share their findings through supervision. The provider had continued to explore opportunities for the development of technology to allow increased connectivity to electronic clinical record keeping systems but this remained an on-going issue which was outside of the provider’s control.

At our previous inspection we found that there was no patient engagement.

During this assessment we found that a patient engagement lead had commenced in post in February 2025. A review of the engagement processes had been completed, and we saw evidence of patient engagement, such as attending prison council meetings and holding forums to obtain feedback from patients. The provider had also recruited two healthcare champions to support the engagement lead and although this was still early days, positive feedback from patients had been received.

The judgement for Partnerships and communities is based on the latest evidence we assessed for the Well-led key question.

The judgement for Learning, improvement and innovation is based on the latest evidence we assessed for the Well-led key question.