Archived: Foston Hall Prison (Health Care Centre)

We considered our inspection findings to answer questions we always ask:

.Is the service safe?

.Is the service effective?

.Is the service caring?

.Is the service responsive?

.Is the service well-led?

This is the summary of what we found.

Is the service safe?

An assessment of people's health care and treatment needs was carried out when people started to use the service. Risk assessments were in place. Audits were carried out to look at accidents and incidents and the necessary action was taken to keep people safe. Information was available to show that the service worked with other agencies to help ensure people's health needs were met safely.

Is the service effective?

We spoke with twelve people who used the service who told us they were happy with the service they received. One person said; "The staff are very good." Another person said; "The healthcare is good." Most people we spoke with said staff were kind and supportive.

Staff we spoke with were knowledgeable about people's health care needs. They had received some training to help them in their role and to understand the different health and treatment needs of people they worked with. Staff were observed to be patient and supportive as they worked with people.

Is the service caring?

People spoken with were positive about the health care provided by staff. One person said; "The counsellor is amazing." Another commented; "The healthcare is good." One person said; "Staff listen to me." and; "The nurse is kind." Another said; "The staff are friendly and kind." We found people were encouraged to be involved in decision making.

Is the service responsive?

Information was collected by the service with regard to the person's healthcare and support needs when they started to use the service. Various assessments were completed by the staff of the service with the person to help make sure staff could meet their health care needs.

Referrals for specialist advice were made when staff needed guidance to ensure the health needs of people were met. People's individual needs were taken into account and they were involved in decision making with regard to their health care and treatment.

Information was not always available to help people understand the care and treatment choices available to them.

A health care forum was in place for representatives of people who used the service to discuss the running of the service and to ensure the service was responsive in meeting the changing needs of people.

Is the service well-led?

There was a focus from management on the provision of individual care and support to people who used the service. Staff told us if they needed to raise any concerns they felt they would be listened to. They said they felt well supported by managers and there were opportunities for development. One person said; "I'm impressed, I'm looking forward to my future here."

People who used the service told us they felt able to speak to the manager and staff about any issues. We saw there were opportunities for people to comment about the service they received and action was taken as a result of the surveys.