- SERVICE PROVIDER
Nottinghamshire Healthcare NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
We have suspended the ratings on this page while we investigate concerns about this provider. We will publish ratings here once we have completed this investigation.
We have published a rapid review of Nottinghamshire Healthcare NHS Foundation Trust and an assessment of progress made at Rampton Hospital since the most recent CQC inspection activity.
See older reports in alternative formats:
- Community mental health services with learning disabilities or autism, published 24 May 2019: Easy read report.
- Rampton Hospital, published 8 June 2018: British Sign Language video.
- Rampton Hospital, published 15 June 2017: British Sign Language video.
Report from 11 July 2024 assessment
Ratings - High secure hospitals
Our view of the service
Date of assessment 4 June to 5 June 2024 Rampton is a high secure hospital with services run by Nottinghamshire Healthcare NHS Foundation Trust. Rampton was last rated inadequate (published March2024). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out our on-site assessment on 04 and 05 June 2024. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 3 quality statements across 3 key questions; Safe and effective staffing; Treating people as individuals; Governance, management and sustainability. As we assessed some but not all quality statements at this visit it means we use the ratings from the previous inspection to rate the key questions safe, caring, and well-led. We found patients told us staffing had improved and staff were respectful, patient, kind and knew their likes and dislikes. Staff knew the patients well and were able to describe their needs, likes and dislikes. Processes in place ensured patients were involved in their care and treatment. Although staffing continued to be a challenge, we saw processes were in place to ensure this could be appropriately escalated, meaning there was no major impact on patients. Staff felt better informed, as managers were visible and accessible on the wards. The service had streamlined recruitment processes which had in part led to the recruitment of several newly qualified nurses. The service had processes in place to learn from other similar services.
People's experience of this service
We spoke to 25 patients across 8 wards. Patients told us staffing had improved and staff were respectful, patient, kind and knew their likes and dislikes. Patients were able to attend activities on and off the ward. Care plans we reviewed demonstrated patient involvement. We observed ward rounds where the patient attended and was treated as an individual and staff demonstrated they knew the patient well.