- SERVICE PROVIDER
Nottinghamshire Healthcare NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
We served a Section 29A warning notice on Nottinghamshire Healthcare NHS Foundation Trust on 1 November 2025 for failing to meet the regulations related to the governance of long term segregation environments at Rampton Hospital and Arnold Lodge.
We have published a rapid review of Nottinghamshire Healthcare NHS Foundation Trust and an assessment of progress made at Rampton Hospital since the most recent CQC inspection activity.
See older reports in alternative formats:
- Community mental health services with learning disabilities or autism, published 24 May 2019: Easy read report.
- Rampton Hospital, published 8 June 2018: British Sign Language video.
- Rampton Hospital, published 15 June 2017: British Sign Language video.
Assessment report published 7 July 2025
Contents
On this page
- Overview
- Learning culture
- Safe systems, pathways and transitions
- Safeguarding
- Involving people to manage risks
- Safe environments
- Safe and effective staffing
- Infection prevention and control
- Medicines optimisation
Safe
This means we looked for evidence that people were protected from abuse and avoidable harm.
At our last assessment we rated this key question Requires improvement. At this assessment the rating has changed to Good. This meant people were safe and protected from avoidable harm.
At our last assessment we found all staff did not have all mandatory training in place and there were not adequate processes in place to identify when staff were not following medication administration guidance. At this assessment we found the trust had ensured that all staff mandatory training requirements were met, and appropriate processes were in place and embedded to manage medication.
This service scored 66 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Learning culture
We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safe systems, pathways and transitions
We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safeguarding
We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.
Involving people to manage risks
We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safe environments
We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.
Safe and effective staffing
At the previous assessment of this service, we found the provider did not ensure staff completed the required mandatory training.At this assessment inspection we found the trust had ensured that all mandatory training requirements were met. Training compliance rates across the hospital were 88%, meeting the trusts internal required compliance rate of 85%.
Infection prevention and control
We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.
Medicines optimisation
At the previous assessment of this service, we found the service did not have appropriate processes in place to identify when staff did not follow specific medicine administration guidance. This included audits in place not identifying, where staff had not followed medication administration guidance and staff did not always follow the Trust’s policy as they completed the controlled drugs records to confirm patients had received medicines before they had been given. At this assessment we found relevant processes had been developed and effectively implemented.