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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 given the medicines they need when they need them, and in a safe way (outcome 9)

Meeting this standard

We checked that people who use this service

  • Will have their medicines at the times they need them, and in a safe way.
  • Wherever possible will have information about the medicine being prescribed made available to them or others acting on their behalf.

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 were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

Reasons for our judgement

We saw qualified staff administered medication from the prison wings and had the support of a pharmacist. Some people who used the service had raised concerns about access to medication. We found that all complaints had been investigated. However, because of changes within the local Trust, previous cooperation in working practices that were now no longer available, had a detrimental impact upon healthcare within the prison. This was with regard to the timeliness of out of hours medication. We were told that previously out of hours medication could be obtained from the pharmacy within the Trust, which was located opposite the prison. However, this was no longer available and only if staffing levels were sufficient, staff had to travel further off site, to obtain the medication, otherwise people did not receive it in a timely way. We were told people were issued with pain relieving medication for emergency use when they were first arrived. Any other medication they may require was not available until it had been prescribed. The provider may find it useful to note the availability of obtaining prescriptions for people was reduced as the system for out of hours prescription writing was no longer available with changes in the healthcare provision contracts within the prison. This could cause health risks to people if there was a delay in obtaining the correct medication.

We saw that risk assessments were carried out to see if it was safe for people to hold their own medication. These assessments were carried out by the GP, who used a scoring system to determine risk. Both the person and the drug risk were assessed. The assessments were reviewed when conditions or circumstances changed. We saw all drugs not held by people were stored in secure cabinets in secure locations. This meant medicines were kept safely.