HMP Buckley Hall

Updated 4 November 2020

HMP Buckley Hall is a closed category C adult male training prison. The prison is located on the edge of Rochdale, Greater Manchester. Healthcare services are delivered from the main healthcare centre and wing-based medicines administration areas.

Health services at HMP Buckley Hall are commissioned by NHS England. The contract for the provision of healthcare services is held by Greater Manchester Mental Health NHS Foundation Trust (GMMH). The trust provided the services at the time of our last inspection in July 2019. However, at that time, the healthcare services at HMP Buckley Hall were incorporated in the location registration for HMP Manchester. Subsequently, the GMMH registered HMP Buckley Hall as a location. The trust is registered with CQC to provide the regulated activities of Diagnostic and screening procedures, and Treatment of disease, disorder or injury.

Our last joint inspection with HMI Prisons was in July 2019. The joint inspection report can be found at:

https://www.justiceinspectorates.gov.uk/hmiprisons/inspections/hmp-buckley-hall-2/

This report covers our findings in relation to those aspects detailed in the Requirement Notices issued to Greater Manchester Mental Health NHS Trust in November 2019 and areas where we made recommendations for improvement at the last inspection.

Updated 4 November 2020

We carried out this desk based review of healthcare services provided by Greater Manchester Mental Health NHS Foundation Trust (GMMH) at HMP Buckley Hall in October 2020. We last inspected the service in July 2019 when we judged that the trust/provider was in breach of CQC regulations. We issued two Requirement Notices on 5 November 2019 in relation to Regulation 17, Good governance and Regulation 18, Staffing, 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 by GMMH 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:

• Staff supervision was now taking place in line with the trust policy and recorded and monitored appropriately.
• The trust conducted regular infection prevention and control audits.
• Staff checked emergency equipment and medicines daily and local managers conducted regular management checks.
• Systems to monitor medicines storage arrangements now ensured these medicines were appropriate for use.
• Managers were able to escalate local issues via the risk register and monthly clinical governance and business meetings.
• Staff reported incidents in line with the trust policy. Managers reviewed all incidents shared learning appropriately.
• Improvements had been made to the complaints management process. Response letters to patients were well written and comprehensive and contained details of how a complainant could escalate their concern if they were not satisfied with the trust’s initial response.

There were areas where the trust could make further improvements. The trust should:

• Ensure that all audits or checks carried out are signed and dated.
• Ensure quality assurance processes for records management and READ coding in patient electronic records are documented appropriately.