We found improvements had been made to ensure that people who used the service were treated with respect and their dignity was maintained as far as possible.
We saw staffing levels had been increased to help ensure the health and well-being of people who used the service was promoted.
We spoke with twelve people who used the service who told us they were happy with the service they received. One person said; "this is better than most places I have been to." Another person said, "most of the nurses are good, it is okay".' Another said; "the healthcare staff are brilliant." Some said there were delays in receiving appointments or treatment. We saw there had been some improvement in waiting times but there were still some delays. People said healthcare staff worked hard to make sure their care needs were met and we were told that most staff were attentive, helpful and appeared to be interested in making sure people's healthcare needs were met.
We found people's privacy and dignity were not respected.
We saw a health care centre had been newly created and it was separate to the residential facilities. It provided health promotion clinics and a GP surgery. We found people were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.
We spoke with ten nursing staff who worked at the prison. They told us they enjoyed their work. They did say they felt supported by their line manager to carry out their role. We looked at the records for the service, including quality assurance audits, surveys, staff records, policies and training documents and found them to be up-to-date.
We found there were not enough qualified, skilled and experienced staff to meet people's needs in a safe and timely way.
We found an effective complaints system was in place and complaints were thoroughly investigated.