HMP YOI Rochester

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed 1 quality statement for this key question. The provider had not made sufficient progress to address this regulatory breach. We found that staff managed wound care well and that new processes were in place to improve care plans for long-term health conditions, however, care plans for some patients still required improvements.

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

The judgement for Assessing needs is based on the latest evidence we assessed for the Effective key question.

Staff had not consistently developed care plans that met patients’ individual physical health needs.

At the last assessment we found patients with long term conditions, as well as those who required support with the management of a wound, did not have suitable care plans in place.

During this assessment we saw improvement in wound care and some improvement with management of long-term conditions, although there was still work to be done.

Managers and staff had made positive progress and we found that wound care had
improved with detailed care plans in place. The new management team had introduced an
ongoing training module which was accessible to all staff.

The service had appointed a temporary manager who was a highly skilled long-term conditions nurse and provided group and individual support sessions to further upskill existing staff. As patients were seen for their long-term conditions review, a new template was used to help staff complete a more thorough review. However, at the time of assessment, a proportion of patients were overdue an assessment or their previous care plan had not been updated and improved. Therefore some care plans remained brief and lacking in relevant information. For example, care plans for people living with epilepsy were not person centred, did not document current risks and had not always been recently reviewed.
 

The judgement for How staff, teams and services work together is based on the latest evidence we assessed for the Effective key question.

The judgement for Supporting people to live healthier lives is based on the latest evidence we assessed for the Effective key question.

The judgement for Monitoring and improving outcomes is based on the latest evidence we assessed for the Effective key question.

The judgement for Consent to care and treatment is based on the latest evidence we assessed for the Effective key question.