Yarls Wood Immigration Removal Centre

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We found the healthcare provider had implemented several processes to improve the governance of the service including the standard of record keeping

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

The judgement for Assessing needs is based on the latest evidence we assessed for the Effective key question.

Following the last full inspection, the healthcare provider, Northamptonshire Healthcare NHS Foundation Trust (NHFT) had implemented several processes to improve the governance of the service including the standard of record keeping which had been poor. Additional training and guidance had been delivered including a session regarding defensible record keeping. Staff confirmed they had noticed an improvement in the quality of patient notes and the drive by leaders to ensure notes quality remained a priority. Both staff and leaders recognised this is a continuous process of improvement. More involved multidisciplinary meetings had been developed to ensure a more holistic picture of an individuals care. These were captured into the patient record and we could see comprehensive discussions by specialist care teams or individual staff.

The quarterly provider record keeping audit continued to be completed and a bespoke audit tool specifically designed for Yarl’s Wood had been created and implemented. Five primary care and 5 mental health records were audited by senior clinicians each month using this tool and any deficiencies were addressed. During individual supervision sessions reviews of documentation were undertaken highlighting both good and less positive aspects of the samples and ways to rectify any deficits were discussed and monitored. All these measures had become embedded in practice and demonstrated an improved position with more detailed narrative and personalised information which was positive. Within the records we reviewed we found that progress notes showed good levels of interaction, fewer abbreviations were used, and comprehensive next steps were set out. We saw entries outlining discussions from multidisciplinary team meetings and about missed doses of medication being followed up and appropriate actions being taken. Care plans had improved, and we saw examples of individualised care plans where appropriate. However, there were still a few issues ensuring timely generation of personalised care plans, but recent audits were working to reduce these instances

The judgement for How staff, teams and services work together is based on the latest evidence we assessed for the Effective key question.

The judgement for Supporting people to live healthier lives is based on the latest evidence we assessed for the Effective key question.

The judgement for Monitoring and improving outcomes is based on the latest evidence we assessed for the Effective key question.

The judgement for Consent to care and treatment is based on the latest evidence we assessed for the Effective key question.