22 Jan to 23 Jan 2020
During an inspection looking at part of the service
Between 22 and 23 January 2020 we carried out an announced focused inspection of healthcare services provided by Nottinghamshire Healthcare NHS Foundation Trust at HMP Gartree.
Nottinghamshire Healthcare NHS Foundation Trust took over healthcare services at HMP Gartree on 1 November 2018. This focused inspection was carried out to follow up on concerns identified during our last inspection in August 2018 with the previous healthcare provider, during which breaches of Regulations 12, Safe care & treatment, Regulation 17 Good governance, and Regulation 18, Staffing had been identified.
The purpose of this focused inspection was to determine if healthcare services provided by Nottinghamshire Healthcare NHS Foundation Trust were meeting the legal requirements of the above regulations under Section 60 of the Health and Social Care Act 2008, particularly in relation to the previous areas of concern.
We do not currently rate services provided in prisons.
Our key findings were as follows:
- The risks associated with in-possession medication had been identified and were in the early stages of being addressed.
- Substance misuse services had appropriate clinical oversight, and the required drug testing kits were available.
- The oversight of pharmacy services had improved, however new governance systems were in early stages of development following recent recruitment of senior pharmacy staff.
- The governance of social care was good, however record keeping did not always accurately reflect the detail of interactions with patients.
- Governance systems to assess, monitor and improve the quality and safety of the service were effective.
- Staff felt supported and had access to appropriate supervision and training for their roles.
The areas where the provider should make improvements are:
- Social care records reflect the care delivered to patients.
- Governance systems and processes are embedded to assess, monitor and improve the quality and safety of services.
- Systems should identify all those who miss doses of their medication and healthcare staff should ensure they are followed up.