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Archived: HMP Lincoln

This service was previously managed by a different provider - see old profile

All reports

Inspection report

Date of Inspection: 18, 19 November 2013
Date of Publication: 14 December 2013
Inspection Report published 14 December 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Not met this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 18 November 2013 and 19 November 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with staff, reviewed information given to us by the provider and talked with other regulators or the Department of Health.

Our judgement

People's privacy, dignity and independence were not respected.

Reasons for our judgement

We spoke with twelve people who had used the healthcare service. They were positive about the way staff interacted with them. One person said, "The staff really are respectful, most take the time to listen." We were also told, "The staff are good" and, " the staff are brilliant." Another person said; "There's plenty of information at the clinic." We saw there were leaflets available within the clinic about various medical conditions and other health promotion literature. We were told as part of induction each person was given a booklet about the health services at the prison.

Staff told us that they had access to a telephone interpretation service should this be required. Staff also had access to a translation service should any printed literature be required in alternative languages. We did not see any printed healthcare information readily available for people whose first language was not English, although we had been told people from other cultures and ethnic origins were accommodated at HMP Lincoln. This meant all people did not have information, in a way they could understand, about the healthcare provision when they were first admitted to prison.

We were told peoples' healthcare needs were assessed on arrival so that staff were made aware of any immediate concerns and medication that may be required. People were seen by the general healthcare staff as part of an initial reception screen. Staff followed this up within five days when a comprehensive secondary health screen was completed. Most people said they understood the care and treatment choices available to them. However two people we spoke with who used the service expressed frustration at the perceived lack of communication with the health care staff in prison and the primary care services they had left in the community. One person said; "I've been waiting for an operation and each place I go I have to tell them about it to try and get it sorted." This meant not all people who used the service were given appropriate information and support regarding their care and treatment.

People who wanted to use healthcare services requested an appointment by completing a form held on each wing and putting this into a confidential envelope. This was collected by health care staff when they visited the wing. Officers on the wings did not have knowledge of those requesting healthcare.

We observed the way staff interacted with people who were using the healthcare service during our inspection. We saw they spoke with people in a polite and respectful manner. Recent comments from a survey described healthcare staff as "wonderful, caring and polite." And "supportive." Also; "I think nurses on E wing go above and beyond their duties to help us. A massive thanks to them all." Also; "I found that this was the first time in years that the nurse actually engaged in relevant conversation and listened to what I had to say."

We spoke with eight members of staff who were involved in healthcare during our inspection. The staff we spoke with described ways in which they respected prisoners and involved them in decisions about their treatment. Three of the staff we spoke with told us they faced some challenges in maintaining the privacy and dignity of people when administering medication. We saw when medication was administered on prison wings, the system afforded little privacy and dignity for people who queued for their medication. Two health care providers administered medication from the one room. This included for the administration of methadone, which was a service provided by the other healthcare provider. Methadone is a drug that is used as a substitute for people who are addicted to morphine or heroin. This meant as people waited in queues they could see who received medication for substance addiction. We were told by staff it sometimes lead to bullying amongst people. This meant people's privacy and dignity were not respected.

We saw people were asked to complete a customer e