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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: 28 January 2014
Date of Publication: 15 February 2014
Inspection Report published 15 February 2014 PDF

There should be enough members of staff to keep people safe and meet their health and welfare needs (outcome 13)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by sufficient numbers of appropriate staff.

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 28 January 2014, talked with people who use the service and talked with staff. We reviewed information given to us by the provider.

Our judgement

There were enough qualified, skilled and experienced staff to meet people’s needs.

Reasons for our judgement

At our last inspection of 18 and 19 November 2013 we told the provider they were not meeting this standard. We said; "There were not enough qualified, skilled and experienced staff to meet people's needs." We had said doctor cover was not available on Fridays and over the weekends to meet people's health care needs in a safe and timely way. We had also said due to the deployment of nursing staff there were not enough staff to meet people's needs.

After the inspection the provider sent an action plan to show the action they had taken to achieve compliance in the areas where they were found to be noncompliant.

We carried out this follow up inspection to check the action the provider had taken to achieve compliance with this outcome.

As part of the inspection we talked to staff and looked at staffing rosters and talked to people who used the service.

We found that doctor cover was now extended to cover Fridays and Saturday afternoons. This meant people who used the service did not have to wait long for a doctor's appointment as medical cover was available over six days of the week. We saw an agreement was in place that stated when a general practitioner or medical officer was not on duty, a psychiatrist from the mental health service was available to sign any urgent health care prescriptions. This meant when people were admitted to the service there was not a delay in receiving a prescription if it was required. We also saw arrangements were in place with the pharmacy service to ensure emergency prescriptions were dispensed over seven days of the week. This meant people received their prescribed medication in a timely way to ensure their well-being.

We had previously said staffing levels were not sufficient to ensure staff were available to attend to all their required duties in a timely way. We saw at this inspection the primary care management team had reviewed staff arrangements and carried out audits. This was to identify if there were any shortages of staff in areas such as reception healthcare screening, when a new person was admitted to the service. We saw a reception audit checked to see if there were delays in the health screening of people. At the time of our inspection no delays had been identified, but the audit was to continue. We were also told arrangements were in place with the mental health team when two members of staff were required to sign for some medication.

We were told minimum staffing levels were:

Four qualified staff and two health support workers 07:15am-17:15

Two qualified staff and one health support worker 17:15am-21:00

One qualified staff and one health support worker 20:45pm-07:45

Staff rosters we looked at showed these levels were often exceeded as five or six qualified staff were on duty. This meant there were enough staff to ensure the needs of people were met in a timely way.

We were also told three new members of staff had been recruited and were waiting to start work. This meant the staff team was being increased and would be available to support the existing staff team.