Nottinghamshire Healthcare NHS Foundation Trust

The inspection visit took place on 10-12 March 2020.

This was an unannounced (staff did not know that we were coming) responsive focused inspection to address concerns raised from an ICETR (Independent Care education and Treatment Reviews) However we informed the hospital 24 hours in advance due to the high level of security entering the hospital. 

This was a focused inspection, we inspected against the following four Key Lines of Enquiry: 

Is it safe?
Is it effective?
Is it caring?
Is it well-led?

During the inspection visit, the inspection team: 

• Visited all four wards at the hospital, looked at the quality of the ward environment and observed how staff were caring for patients 

• Reviewed 23 physical healthcare records 

• Spoke with 17 patients who were using the service including four in long term segregation 

• Spoke with the three ward managers and a team leader for each of the wards 

• Spoke with 19 other staff members; including doctors, nurses, occupational therapist physical health nurse, therapeutic worker, health care assistant and house keepers 

• Attended and observed one hand-over meetings and one multi-disciplinary meetings 

• Looked at 23 care and treatment records of patients Reviewed 17 medication cards

• Looked at a range of policies, procedures and other documents relating to the running of the service.