HMP YOI Doncaster

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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 not made sufficient progress to address the regulatory breaches found at our previous assessment. The governance of medicines management was not adequate. Mental health governance had improved and there was effective oversight, which included task management ensuring there was a full staffing complement.

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 that there were concerns with medicine management and although some areas had improved during this inspection, we found that the governance remained inadequate and had not identified concerns.

At our previous inspection we found that there were concerns around governance within the mental health service. During this inspection we found that there was now effective oversight and robust data to help ensure timely assessments.

At our previous inspection we found that the mental health service action plan did not include timebound actions or reflect findings from the previous inspection.

At this inspection, we found that the mental health service action plan contained clear actions, defined timescales and target completion dates. The provider was also able to demonstrate ongoing monitoring of compliance, including oversight of progress against actions and regular review of implementation. This provided assurance that improvements were being tracked and managed effectively.

At our previous inspection staffing deficits were not recognised as a risk. At this inspection we found that the mental health team was now fully staffed and there had been no reported incidents of having insufficient staff.

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.