HMP Swaleside (Healthcare)

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

The Trust had implemented measures to address the issue we had identified during our previous inspection. We found that managers had an audit schedule in place and audits highlighted areas for improvement.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Shared direction and culture is based on the latest evidence we assessed for the Well-led key question.

The judgement for Capable, compassionate and inclusive leaders is based on the latest evidence we assessed for the Well-led key question.

The judgement for Freedom to speak up is based on the latest evidence we assessed for the Well-led key question.

The judgement for Workforce equality, diversity and inclusion is based on the latest evidence we assessed for the Well-led key question.

At our previous inspection we were informed audits were completed. However, they had not identified the issues with patient care planning, patient records and managing risk to falls. For this assessment we were provided with an audit schedule. This provided detail as to which audit managers needed to conduct month by month, and the outcomes for each audit. Audit reviews were undertaken by a number of senior managers within the Trust, to ensure that audits were effective in picking up areas for improvement in patient safety. Regular audits were now undertaken to ensure that staff were following procedures correctly. We were sent the Local Operating Procedure for, managing medication changes. Managers carried out audits to ensure staff were following the procedure to ensure there were clear records for the decision-making process when patient medications were changed, and patients were aware of the reasons for any amendments.

The judgement for Partnerships and communities is based on the latest evidence we assessed for the Well-led key question.

The judgement for Learning, improvement and innovation is based on the latest evidence we assessed for the Well-led key question.