Trust Headquarters

Updated 16 August 2018

Health services at HMP Holme House are commissioned by NHS England. Trust Headquarters is the registered location for community mental health services provided by Tees, Esk and Wear Valleys NHS FT (TEWVs). The contract for the provision of mental health services at HMP Holme House is held by TEWVs.

HMP Holme House is a purpose-built category B prison which was designated as a reform prison in 2016, the change from a local prison commenced in May 2017. During our visit HMP Holme House was holding around 1,200 male prisoners.

CQC inspected this location with HMI Prisons between the 10 and 13 July 2017. We found evidence that fundamental standards were not being met and one Requirement Notice was issued to TEWVs for Regulation 9, Person-centred care of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We subsequently asked the provider to make improvements regarding this breach. We checked this area as part of this focused inspection and found that the provider had addressed the issues identified that fell within their control and remit.

How we carried out this inspection

This focused inspection was carried out by two CQC health and justice inspectors.

During this inspection we reviewed the action plan submitted by TEWVs to demonstrate how they would achieve compliance. Service managers described the improvements and developments that had been made since the last inspection and provided evidence of this. We also reviewed patient clinical records and healthcare complaints. We spoke with the mental health team managers, mental health staff, primary care managers and the prison governor.

Updated 16 August 2018

This inspection was an announced focused inspection carried out on 5 July 2018 to confirm that the provider had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection between 10 and 13 July 2017.

The July 2017 comprehensive inspection was carried out in partnership with Her Majesty’s Inspectorate of Prisons (HMIP) under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions in accordance with our published methodology. CQC issued one Requirement Notice under Regulation 9 of the Health and Social Care Act (Regulated Activities) Regulations 2014 to Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV). This can be found in Appendix 2 of the joint inspection report. The joint inspection report can be found at:

https://www.justiceinspectorates.gov.uk/hmiprisons/wp.../Holme-House-Web-2017.pdf

This focused inspection report covers our findings in relation to those aspects detailed in the Requirement Notice dated 5 December 2017 and findings published in the joint report. We do not currently rate services provided in prisons.

Our key findings at this focused inspection were as follows:

• The trust had taken positive action to improve the delivery of mental health services.

• All referrals made to the mental health team were triaged on receipt and allocated to a mental health practitioner within 24 hours. Assessments now took place within a week.

• Care plans were now well developed and showed evidence of patients’ involvement in their planned care.

• Clear timescales for continuation of patient care were recorded in care plans; all had been reviewed to ensure follow up assessments; and future appointments were documented.

• Caseload management had improved significantly and was monitored and discussed by staff and managers at both individual and team meetings.

• Managers had made improvements to recording systems and patient information templates to ensure a consistent approach.