• Prison healthcare

HMP Bedford

St Loyes Street, Bedford, Bedfordshire, MK40 1HG

Provided and run by:
Northamptonshire Healthcare NHS Foundation Trust

Report from 30 September 2024 assessment

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Well-led

Not all regulations met

Updated 3 October 2024

We found the Trust had implemented effective measures to address the issue we had identified during our previous inspection and that audits on care plans were being conducted. However, we identified that staff had failed to consistently report incidents on their internal incident reporting system and discuss them at relevant governance meetings.

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

Shared direction and culture

Regulations met

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

Capable, compassionate and inclusive leaders

Regulations met

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

Freedom to speak up

Regulations met

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

Workforce equality, diversity and inclusion

Regulations met

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

Governance, management and sustainability

Not all regulations met

There were systems and processes in place to manage and learn from current and future performance and risks to the quality of service, however, staff had not consistently followed these processes. There was an incident reporting process in place, however, staff had failed to report all identified incidents of self-harm following the trust’s incident reporting process. This meant self-harm incidents had not been discussed at clinical governance or local delivery board meetings. At the last inspection we found that there were no systems or processes in place to undertake audits of patient records. During this inspection we found that regular audits of patient records had taken place. We found that areas of concern identified were discussed with staff during supervision.

Partnerships and communities

Regulations met

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

Learning, improvement and innovation

Regulations met

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