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High-security hospital 'still needs to improve'
High-security hospital 'still needs to improve'

Yahoo

time23-05-2025

  • Health
  • Yahoo

High-security hospital 'still needs to improve'

A high-security psychiatric prison is still in need in need of "urgent improvement" the healthcare watchdog has said. Rampton Hospital, run by Nottinghamshire Healthcare NHS Foundation Trust (NHFT) has been rated "requires improvement" by the Care Quality Commission (CQC) following an unannounced inspection in March. It was rated "inadequate" in January 2024 with the NHS trust under close scrutiny at the time over its care of Valdo Calocane, who carried out the Nottingham attacks in June 2023. While the CQC found some "clear improvements" had been made at the hospital, it said the trust had work to do "to address staff shortages and support staff". Rampton provides services to people who are detained under the Mental Health Act 1983 and are classified as having a learning disability, mental illness or psychopathic disorder. The latest CQC visit of the site follows a series of inspections that began in June last year as part of a 12-month inspection programme the watchdog has carried out at the wider trust. This was prompted by a special review into NHFT for which the final report was published in August last year. During the latest inspection, staff reported incidents where the hospital wards were "not meting safe staffing levels" with therapies and activities "frequently cancelled" due to staffing shortages. Managers told inspectors the wards "hardly ever" had the right number, experience and gender of staff to keep patients and staff safe. Between 1 March 2024 and 27 February 2025 staff submitted 777 incident forms where the reasons stated were "clinically unsafe staffing", the report said. Sometimes staff were working alone at night, leaving them unable to take breaks and some unhappy they were regularly moved from their ward to support others. Managers told inspectors lone working left staff feeling "anxious, isolated and unsafe". In the report, released on Friday, the CQC said it had found four breaches of regulation during its latest inspection, related to safe care, safeguarding, privacy and dignity, premises and equipment and safe staffing. The watchdog said it had asked the trust to submit a plan showing what action it was taking to address the concerns but added it had provided assurances around staffing concerns. Leaders at the trust showed it had measures in place to to minimise lone working and that the service was in the middle of a large recruitment drive. The CQC added staff at Rampton respected people's privacy and dignity, were responsive to people's needs, provided help, emotional advice and advice when they needed it and worked well with partner organisations. Greg Rielly, CQC deputy director of operations in the Midlands, said: "We have told leaders at Nottinghamshire Healthcare NHS Foundation Trust where urgent improvements are needed. "The service needs to build on the positive areas in our report and focus on making the service safer for people." In April, the BBC revealed the trust announced plans to withdraw from a contract to provide healthcare to prison inmates at seven jails across the East Midlands and an immigration centre. Dr Susan Elcock, executive medical director and deputy chief executive of Nottinghamshire Healthcare NHS Foundation Trust, said the service was pleased the CQC reflected on improvements it had made. She added: "We welcome inspections as they are an important way to understand how we are doing and highlight areas where we can do better. "Where the CQC told us we needed to take urgent action, we immediately took steps to address the issues raised. "The CQC noted among the improvements those relating to physical health support and described care plans as personalised and truly reflecting patients' needs. "Whilst we recognise we still have a way to go, I would like to thank colleagues for their work to date. "We are absolutely committed to making further improvements to ensure our services consistently provide excellent, safe care and will continue working closely with the CQC, our colleagues, our patients and their families to achieve this." Follow BBC Nottingham on Facebook, on X, or on Instagram. Send your story ideas to eastmidsnews@ or via WhatsApp on 0808 100 2210. Troubled NHS trust to quit prison health contract Secure hospital is improving, report says Inspectors take action against psychiatric hospital Care Quality Commission (CQC) Nottinghamshire Healthcare NHS Foundation Trust

Care home rated inadequate over safety and hygiene
Care home rated inadequate over safety and hygiene

Yahoo

time16-05-2025

  • Health
  • Yahoo

Care home rated inadequate over safety and hygiene

A care home in Nottinghamshire has been placed in special measures after being rated as inadequate by inspectors. Falcon House Care Home in Middle Street, Beeston, was found to have a "poor culture" and residents were not supported to manage their personal cleanliness and hygiene. The Care Quality Commission (CQC) report also said the home "wasn't a safe and clean environment, and equipment wasn't well-maintained to mitigate risks". Minster Care Management Limited, which runs Falcon House, said it had worked with the city council to formulate an improvement plan and already made "sustainable progress". The CQC inspected the home in March when it had 35 residents. It found six breaches of regulation relating to safeguarding, safe care and treatment, consent, providing person-centred care, management and oversight, and medicines management. The overall rating for the service, and the ratings for how safe and well-led the service is, have dropped from good to inadequate. Issues included managers failing investigate incidents thoroughly to help identify improvements and also failing to ensure staff had appropriate training and skills. Greg Rielly, CQC deputy director of operations in the midlands, said the findings were "disappointing". "While people were generally pleased with the service and said that staff treated them with kindness and compassion, we found that parts of their care didn't meet the required standards to be safe and effective," he said. "The home wasn't a safe and clean environment, and equipment wasn't well-maintained to mitigate risks. "The home had a poor culture which meant that staff didn't feel comfortable raising concerns." CQC has issued a warning notice to the provider, highlighting where improvements are needed. A spokesperson for Falcon House said: "We are disappointed that the CQC has given us this rating and acted immediately in addressing their concerns. "Working closely with the local authority, we fully assessed the service and developed an action plan, adding a new operational and management team. "Additional training has been carried out and we have also begun implementing new electronic live systems to monitor progress. "We are being supported by health professionals and Nottingham City Council's quality team and are making consistent and sustainable progress. "We look forward to welcoming the CQC back to reassess the service in the future." Follow BBC Nottingham on Facebook, on X, or on Instagram. Send your story ideas to eastmidsnews@ or via WhatsApp on 0808 100 2210. Previously inadequate care home now rated good Care home residents moved after licence suspended Care Quality Commission Minster Care Group

Care home rated inadequate over safety and hygiene
Care home rated inadequate over safety and hygiene

BBC News

time16-05-2025

  • Health
  • BBC News

Care home rated inadequate over safety and hygiene

A care home in Nottinghamshire has been placed in special measures after being rated as inadequate by House Care Home in Middle Street, Beeston, was found to have a "poor culture" and residents were not supported to manage their personal cleanliness and Care Quality Commission (CQC) report also said the home "wasn't a safe and clean environment, and equipment wasn't well-maintained to mitigate risks".Minster Care Management Limited, which runs Falcon House, said it had worked with the city council to formulate an improvement plan and already made "sustainable progress". The CQC inspected the home in March when it had 35 found six breaches of regulation relating to safeguarding, safe care and treatment, consent, providing person-centred care, management and oversight, and medicines management. The overall rating for the service, and the ratings for how safe and well-led the service is, have dropped from good to inadequate. Issues included managers failing investigate incidents thoroughly to help identify improvements and also failing to ensure staff had appropriate training and skills. 'Poor culture' Greg Rielly, CQC deputy director of operations in the midlands, said the findings were "disappointing"."While people were generally pleased with the service and said that staff treated them with kindness and compassion, we found that parts of their care didn't meet the required standards to be safe and effective," he said."The home wasn't a safe and clean environment, and equipment wasn't well-maintained to mitigate risks."The home had a poor culture which meant that staff didn't feel comfortable raising concerns."CQC has issued a warning notice to the provider, highlighting where improvements are needed. A spokesperson for Falcon House said: "We are disappointed that the CQC has given us this rating and acted immediately in addressing their concerns. "Working closely with the local authority, we fully assessed the service and developed an action plan, adding a new operational and management team. "Additional training has been carried out and we have also begun implementing new electronic live systems to monitor progress. "We are being supported by health professionals and Nottingham City Council's quality team and are making consistent and sustainable progress. "We look forward to welcoming the CQC back to reassess the service in the future."

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