• Prison healthcare

HMP YOI Rochester

1 Fort Road, Rochester, Kent, ME1 3QS (01634) 803100

Provided and run by:
Oxleas NHS Foundation Trust

Assessment report published 5 November 2026

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Well-led

Regulations met

6 August 2026

We assessed 1 quality statement for this key question. The provider had made sufficient progress with the identified regulatory breaches. There was an improved risk register which was discussed at appropriate committee meetings. Reporting of incidents and quality of investigation had also improved. Audits had improved significantly since the last assessment and included a detailed action plan.

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

Shared direction and culture

Regulations met

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

Capable, compassionate and inclusive leaders

Regulations met

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

Freedom to speak up

Regulations met

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

Workforce equality, diversity and inclusion

Regulations met

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

Governance, management and sustainability

Regulations met

The service had a process in place to report safety incidents. Staff recognised incidents and reported the majority of incidents they were aware of.

At the last assessment we found staff had improved on the quality of detail written for incidents reported and this had been sustained. However, we found that not all incidents were reported. During this assessment we found that the quality of detail had been sustained and that there had been significant improvement in reporting incidents, with only a very small number of identified incidents which had not been reported. Managers had provided staff with support and training sessions and continued to ensure reporting was optimised.

There was a planned audit cycle in place. At the last assessment we found that staff participated in local audits and that improvements had been made since the previous inspection, although progress was slow and audits were not consistently completed and did not always have meaningful action plans. During this inspection we found that further improvements had been made and the quality of audits and action plans was significantly improved.

The service had a risk register which identified risks and mitigating controls, this was monitored through a clearly defined governance structure. At the last assessment we found monitoring compliance of the risk register was inconsistent and that staff had not escalated identified concerns when they arose. During this assessment we found improved oversight of the risk register and risks were escalated and discussed at relevant management committee meetings.

Partnerships and communities

Regulations met

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

Learning, improvement and innovation

Regulations met

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