Desk based review
During an inspection looking at part of the service
We carried out a desk-based review of healthcare services provided by Care UK Health & Rehabilitation Services Limited at HMP YOI Moorland in July 2020. Following a joint inspection of HMP YOI Moorland with Her Majesty’s Inspectorate of Prisons (HMIP) in February 2019, we found that the quality of healthcare provided at this location did not meet regulations. 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 Care UK Health & Rehabilitation Services Limited were now meeting the legal requirements and regulations under Section 60 of the Health and Social Care Act 2008. We found that improvements had been made and the provider was no longer in breach of the regulations.
At this inspection we found that:
- Medicines administration records were regularly audited, and any ommissions found were followed up.
- Patients who failed to collect their medicines were quickly followed up by nursing or pharmacy staff.
- The repeat prescription process had been reviewed.
- Patient information on the repeat prescription process and access to emergency medicines had been reviewed and updated.
Our Inspection team:
This desk-based review was carried by a CQC health and justice inspector in discussion with the manager for the health and justice team. We did not visit the prison to carry out this inspection because we were able to gain sufficient assurance through the documentary evidence provided and a telephone conference with relevant service/ CUK managers.
We reviewed an action plan submitted by Care UK Health & Rehabilitation Services Limited which demonstrated how they intended meet regulatory breaches we identified in February 2019. We requested a range of information to analyse and evaluate as part of this review. Evidence included:
A range of audits;
- Medicines stock audits
- Audit of daily omitted doses
- Responsibilities and prescribing audit
- Administration, errors, incidents and recall audit
- Omitted doses prescription record audit
- Audit of emergency stock medicines
- Audit of FP10s
- Medication Delays Quality Assurance Audit
- Medication task audit
A selection of local operating procedures;
- Local Operating Procedure - Managing Omitted Doses of Medication
- Local Operating Procedure Repeat Prescription Requests
- Local Operating Procedure – Access to Emergency Medicines Management.
Patient information;
- Repeat prescriptions leaflet
- Immediate implementation/corrective action letter sent to patients on the 22/02/2019 regarding medicines management; change in process and access to emergency stock and in possession (IP) medicines
Information for staff;
- Recording non-attendance for medication collection – flow chart advising staff on correct procedure to follow when a patient fails to attend
- Flow chart for the supply and administration of IP medicines
Other information;
- Minutes of the Medication Quality Assurance and Improvement Meeting
- Concerns register 2019/2020
- Medication concerns register 2019/2020
A meeting was held remotely with the head of healthcare and the deputy regional manager for Yorkshire on 3 July 2020 to discuss action and improvements.
Background to HMP YOI Moorland
HMP/YOI Moorland is a category C adult and young adult men’s resettlement prison situated near Doncaster. Health services at HMP YOI Moorland are commissioned by NHS England. The contract for the provision of healthcare services is held by Care UK Health & Rehabilitation Services Limited.
Care UK Health & Rehabilitation Services Limited is registered with CQC to provide the regulated activities of diagnostic and screening procedures, and treatment of disease, disorder or injury.
Our last joint inspection with HMIP was in February 2019. The joint inspection report can be found at: https://www.justiceinspectorates.gov.uk/hmiprisons/Moorland-Web-2019.pdf
This report covers our finding in relation to those aspects detailed in the Requirement Notices issued to Care UK Health & Rehabilitation Services Limited February 2019. We do not currently rate services provided in prisons.