Young Offenders Institute HM YOI Wetherby

Updated 21 May 2018

Background to HMYOI Wetherby.

HMYOI Wetherby is a closed youth custody centre housing up to 250 male juvenile offenders between the ages of 15 to 18. All accommodation is single cell occupancy consisting of four wings and a specialist unit called Keppel. Keppel unit is an enhanced needs unit holding up to 48 young people. This is a national resource and looks after young people who find it difficult to manage in normal accommodation due to issues including learning, physical and mental health issues. Leeds Community Healthcare NHS Trust provides a community style, general health service to the prison.

The location is currently registered to provide two regulated activities,

Diagnostic and screening procedures and treatment of disease, disorder or injury.

How we carried out this inspection:

We reviewed the action plan submitted by the provider in response to the Requirement Notice issued on 7 April 2017 and other information received such as from the service commissioners. Before our inspection we reviewed a range of information that we held about the service. We asked the provider to share with us additional information which we reviewed as part of the inspection. During the inspection we spoke with the head of healthcare, GPs, various members of the healthcare staff, and young people.

Evidence reviewed included:

• An updated action plan from the trust.
• The trust’s complaints recording and handling system.
• The trust’s compliments, concerns and complaints policy.
• A quarterly report by the Patient Involvement and Health Promotion Lead outlining progress made in response to young people’s feedback on the service.
• Literature and information available to young people about the complaints procedure.
• Observation of the health care talk delivered to young people during induction, informing them of the complaints procedure.

Updated 21 May 2018

We carried out an announced focused inspection in the week commencing 12 March 2018, as part of a joint inspection in partnership with Her Majesty’s Inspectorate of Prisons (HMIP). This focused inspection was carried out to follow up on concerns raised during a previous inspection in March 2017 following which we issued a Requirement Notice. This report covers only those aspects detailed in the Requirement Notice dated 7 April 2017. We do not currently rate services provided in prisons.

CQC and HMIP undertake joint inspections under a memorandum of understanding. Further information on this and the joint methodology can be found by accessing the following website:

http://www.cqc.org.uk/content/health-and-care-criminal-justice-system

CQC inspect under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions.

CQC inspected healthcare services at the prison in partnership with HMIP in March 2017. This report can be found by accessing the following website:

https://www.justiceinspectorates.gov.uk/.../inspections/hmyoi-wetherby-and-keppel

During the 2017 inspection we found the provider Leeds Community Healthcare NHS Trust, was in breach of Regulation 16, Health and Social Care Act (RA) Regulations 2014. We identified that the provider did not operate an effective and accessible system for identifying, receiving, recording, handling and responding to complaints and as a result we issued a Requirement Notice on 7 April 2017.

We asked the provider to make improvements and followed up on their progress during a focused inspection in the week commencing 12 March 2018. We also reviewed the provider’s action plan outlining how they intended to make the improvements required.

During this focused inspection, we found the provider had made improvements and taken the necessary action to comply with the regulation.

Our findings were:

Are services safe?

We did not inspect the safe domain at this focused inspection.

Are services effective?

We did not inspect the effective domain at this focused inspection.

Are services caring?

We did not inspect the caring domain at this focused inspection.

Are services responsive?

We did not inspect the responsive domain in full at this inspection. We inspected only those aspects detailed in the Requirement Notice issued 7 April 2017, as a result of the joint inspection in March 2017.

• We found that the trust had taken positive action to improve their complaints procedure.
• The trust was operating an effective, accessible complaints process that was clearly displayed around the establishment.
• Patient confidentiality was respected and records stored securely.
• Responses to concerns and complaints were managed in accordance with the trust’s complaints policy by the head of healthcare and the trust’s Patient Experience Team.
• Trends were monitored and any lessons learnt shared with staff to improve the service provided.

Are services well-led?

We did not inspect the well-led domain at this focused inspection.