- SERVICE PROVIDER
Nottinghamshire Healthcare NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
We have suspended the ratings on this page while we investigate concerns about this provider. We will publish ratings here once we have completed this investigation.
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.
Report from 25 November 2024 assessment
Contents
Ratings - Forensic inpatient or secure wards
Our view of the service
Nottinghamshire Healthcare NHS Foundation Trust’s forensic in-patient service consists of 3 locations including The Wells Road Centre, Wathwood Hospital and Arnold Lodge. During this assessment, we carried out an onsite assessment of all 9 wards at Wathwood Hospital and The Wells Road Centre. The service was last rated good (May 2022). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out our on-site assessment on 5 and 6 August 2024. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 7 quality statements across 1 key question and 2 quality statements across 2 other key questions: learning culture, safeguarding, involving people to manage risks, safe environments, safe and effective staffing, infection, prevention and control, medicines optimisation, kindness, compassion and dignity, shared direction and culture. As we assessed over 80% of the quality statements for the key question of Safe, the rating for this key question reflects the findings of this assessment. However, as we did not assess enough quality statements from the key questions; Effective, Responsive, Caring and Well led, which means we use the ratings from the previous inspection to rate these key questions. During this assessment we found a breach in regulation under good governance, safe environments and safe care and treatment. We have asked to trust to improve these areas of concern within an action plan.
People's experience of this service
We spoke with 17 patients and reviewed 9 patient care and treatment plans. Patients felt there were enough staff on the wards to keep them safe. They felt safe on the wards and felt staff were supportive and kind. Incidents were discussed at ward rounds, and they could speak to their named nurse when they needed to. However, we found plans in place did not always show they were involved in the development of their risk assessments. One patient had not accessed section 17 leave since January 2024 and there was no clinical reason logged for why this decision had been made within the patients care and treatment plan. We saw lack of person-centred information to guide staff on which medicine to give when people were prescribed more than one “as required” medicine. Physical health monitoring was not always carried out in line with care plans. This, put patients at risk of deterioration of underlying physical health conditions.