- NHS mental health service
Bracton Centre Medium Secure Unit
All Inspections
28 March 2023
During an inspection looking at part of the service
We carried out an announced focused inspection of healthcare services provided by Oxleas NHS Foundation Trust at HMP Maidstone to follow up on the Requirement Notice issued after our last inspection in October 2022. At the last inspection, we found the quality of healthcare provided by Oxleas NHS Foundation Trust at this location required improvement. We issued a Requirement Notice in relation to Regulation 12, Safe Care and Treatment and Regulation 17, Good Governance.
The purpose of this focused inspection was to determine if the healthcare services provided by Oxleas NHS Foundation Trust were meeting the legal requirements and regulations of the Requirement Notice under Section 60 of the Health and Social Care Act 2008 and that patients were receiving safe care and treatment.
At this inspection we found the required improvements had been made and the provider was meeting the regulations.
We do not currently rate services provided in prisons. We highlight good practice and issues that service providers need to improve and take regulatory action as necessary.
At this inspection we found:
- The service provided safe care. Staff assessed patient needs accurately, and effectively managed referrals to secondary care services.
- Staff followed systems and processes to record, store and administer medicines safely. Oversight from pharmacy leaders had improved.
- Staff used translation services to meet the needs of patients.
- Governance processes operated effectively at team level and performance and risk were adequately managed.
20 September 2022 to 22 September 2022
During an inspection looking at part of the service
20 Aug to 21 Aug 2019
During an inspection looking at part of the service
We carried out an announced focused inspection of healthcare services provided by Oxleas NHS Foundation Trust at HMP Maidstone on 20 and 21 August 2019.
Following a joint inspection with Her Majesty’s Inspectorate of Prisons (HMIP) in October 2018, we found that the quality of healthcare provided by Oxleas NHS Foundation Trust at this location required improvement. We issued Requirement Notices in relation to Regulation 9: Person-centred care, and Regulation 17: Good governance, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The purpose of the inspection was to determine if the healthcare services provided by Oxleas NHS Foundation Trust were now meeting the legal requirements of the above regulations, under Section 60 of the Health and Social Care Act 2008.
We do not currently rate services provided in prisons.
At this inspection we found that:
- Oversight and management of patients with long-term health conditions had significantly improved, including the development of care planning, prompt assessment of need and on-going assessment, and the development of clear care pathways.
- A regular clinical audit schedule was now embedded in practice to help managers assess and monitor the quality and safety of services being provided.
- A range of regular staff meetings were now taking place, and routine review of incidents and dissemination of learning was evident.
November 8, 2018
During an inspection looking at part of the service
16, 17 June 2014
During a routine inspection
The young men we talked with said that they respected the healthcare professionals who cared for them. They felt the application forms to see various healthcare providers were easy to complete. They said that it was easy for them to see the nursing staff but less easy to see the GPs. They felt that sometimes hospital appointments took too long to arrange.
26, 27 September 2013
During a routine inspection
We found that most people had access to information about the mental health act and advocacy, and there was evidence that some people were involved in their care planning. People received care that met their needs, and the provider had systems in place to ensure the quality of the service and carried out regular audits on the care people received. There were policies and procedures in place for staff to manage seclusion if required and for the reporting of incidents or safeguarding concerns. Medicines were administered and stored safely.
16 September 2013
During a themed inspection looking at Offender Healthcare
We found that the patients were involved in planning their treatment and making decisions about their health care. Clear information was given and the service was accessible to all those who required it.
We spoke with patients who told us they were happy with the service they received and were able to access appointments and specialist help easily when needed. We found most areas of the healthcare centre to be clean and hygienic although some minor improvements were needed to the dental surgery.
We found that medicines were prescribed, stored and managed appropriately and the necessary systems were in place and were followed in relation to the distribution and administration of medication. There were audits in place to monitor the performance of the service in various areas although there were some limits to the opportunities for patients and staff to give feedback on the overall service.
6 July 2011
During a routine inspection
People were given information about the medicines they were taking and were monitored for any possible side effects.
People also told us that they chose what they wanted to eat, and that the premises were cleaned regularly and were well maintained.