Archived: Rainsbrook Secure Training Centre

Updated 13 September 2019

Rainsbrook Secure Training Centre (STC) is one of three purpose-built centres in England designed to accommodate up to 76 male and female young people between the ages of 12 and 18 who are either serving a custodial sentence or are remanded to a secure facility. It is located in the village of Willoughby in Warwickshire, and is operated by MTC.

Northamptonshire Healthcare NHS Foundation Trust (NHFT) is commissioned by NHS England to provide primary and mental healthcare at the STC. NHFT is registered with CQC to provide the regulated activities of Diagnostic and screening procedures, Surgical procedures and Treatment of disease, disorder or injury at Rainsbrook STC.

We undertook on a joint inspection of Rainsbrook STC with Ofsted between October 8 and 11 2018. STCs are inspected annually. During the inspection, we determined if the registered provider, NHFT, was meeting the legal requirements and regulations under Section 60 of the Health and Social Care Act 2008, and that young people at the centre were receiving safe care and treatment. This included following up on concerns previously identified in the Requirement Notice issued to NHFT in 2017. This report can be found at: https://www.cqc.org.uk/sites/default/files/new_reports/AAAH9703.pdf

Updated 13 September 2019

This report focusses only on breaches of regulation detailed in the Requirement Notice we issued in January 2019, following a joint inspection with Ofsted in October 2018. At the time we found that:

• Most staff were not fully compliant with all mandatory training, including immediate life support (ILS) and fire safety training.
• The healthcare team at carried a large number of vacancies, including three out of five registered general nurse posts, which was impacting on care, including access to healthcare professionals and some interventions, such as group sessions.

During this desk based focused review, we found that the provider had made the following improvements;

• Staff were 97% compliant with mandatory training. All had completed fire safety training, and the one team member with outstanding ILS training was scheduled to complete it.
• All but one healthcare team vacancy had been filled, and additional clinical session work meant that young people had improved access to a range of services.
• The Named Nurse system was working effectively and was supported by other initiatives to ensure that information was shared promptly regarding young people with significant health concerns.
• A dedicated on-site head of service and management team had been put in post to provide daily oversight and support to the healthcare team.
• Wellbeing groupwork had recommenced, initially focussing on relaxation and mindfulness to support the mental health of the young people at the centre.