Archived: City Health Care Partnership CIC - HMP Humber

Updated 27 January 2020

HMP Humber is a closed category C resettlement prison, located in a rural part of Humberside. The site is large, and health care services are delivered in two zones within the prison. During our visit HMP Humber was holding about 1,030 male prisoners.

Health services at HMP Humber are commissioned by NHS England. The contract for the provision of healthcare services is held by City Health Care Partnerships CIC (CHCP). CHCP is registered with CQC to provide the regulated activities of Diagnostic and screening procedures, Personal care, Surgical procedures and Treatment of disease, disorder or injury.

The report on the March 2019 focused inspection can be found on our website at:

https://www.cqc.org.uk/location/1-2076222918

This inspection report covers our findings in relation to those aspects detailed in the Requirement Notice issued to CHCP in May 2019.

Updated 27 January 2020

We carried out an announced focused inspection of healthcare services provided by City Health Care Partnership CIC (CHCP) at HMP Humber on 10 December 2019. We last inspected the service in March 2019 when we judged that City Health Care Partnership CIC was in breach of CQC regulations. We issued a Requirement Notice on 24 May 2019 in relation to Regulation 17, Good Governance, of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The purpose of this inspection was to determine if the healthcare services provided City Health Care Partnership CIC 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.

We do not currently rate services provided in prisons.

At this inspection we found:

• The provider had implemented additional governance and quality assurance measures to ensure that patient care was appropriately monitored.
• There was effective partnership working with the prison to continually improve and develop health care services for patients.
• Managers had successfully recruited a range of new staff and had worked with CHCP community services to provide a variety of training and development opportunities, available to all staff.
• Staff were well supported with weekly team supervision sessions and regular managerial supervision.
• No alternative to methadone for treatment of substance misuse and dependency was yet available, however discussions with prison management and NHS England commissioners were ongoing as to how this could be facilitated.
• Improvements had been made to the oversight of medicines including a new system for compliance checks and regular audits to ensure that patient group directions were appropriately signed and authorised.

The areas where the provider should make improvements are:

• Clinical coding should be effectively embedded to improve data quality and monitoring of patient care.