HMP YOI Doncaster

We carried out a desk based review of healthcare services provided at HMP Doncaster in September 2020. The provider of this service was previously named Care UK Health and Rehabilitation Services Limited but on 1 October 2020 they changed their name to Practice Plus Group Heath and Rehabilitation Services Limited. Throughout this report, the provider will be referred to as Practice Plus Group Health and Rehabilitation Services Limited.

Following our last joint inspection with Her Majesty’s Inspectorate of Prisons (HMIP) in September 2019, we found that the quality of healthcare provided by Practice Plus Group Heath and Rehabilitation Services Limited at this location required improvement. We issued a Requirement Notice in relation to Regulation 12, Safe care and treatment, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The purpose of this review was to determine if the healthcare services provided by Practice Plus Group Health and Rehabilitation Services Limited were now meeting the legal requirements and regulations under Section 60 of the Health and Social Care Act 2008 and that patients were receiving safe care and treatment. We found that improvements had been made and the provider was no longer in breach of the regulations.

We do not currently rate services provided in prisons.

At this inspection we found:

• The provider had improved management and monitoring of medicines storage to ensure all medicines were fit for use.
• Systems had been improved to ensure patients obtained their medicines promptly, however a small number of patients had experienced delays to their medicines being administered as a result of off-site prescribing arrangements.
• Staff had been trained in NICE guidance in managing patients with suspected deep vein thrombosis.
• There was clear oversight of medicines prescribing and administration continuity to ensure care was safe.
• The provider had increased staffing in the mental health team to better meet patient needs.
• The mental health and substance misuse teams now worked in a more integrated way with a nurse coordinating care for patients who had both mental health and substance misuse needs.
• A range of monitoring had been introduced to ensure that patient care was timely, safe and effective.

The areas where the provider should make further improvements:

• Fully embed the clinical audit process to ensure that learning is used to improve patient care.