HMP Morton Hall

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

There is a strong awareness of the risks to people across their care journeys. The approach to identifying and managing these risks is proactive. Care and support is planned and organised at a multidisciplinary (MDT) level. Weekly MDT meetings are held to discuss complex patients, referrals for therapy are reviewed and escalated. We make sure there are enough qualified, skilled and experienced people, who receive effective support, supervision and development. They work together effectively to provide safe care that meets people’s individual needs. There are appropriate staffing levels and skill mix to make sure people receive consistently safe, good quality care that meets their needs. Staff receive training appropriate and relevant to their role. Staff were scheduled to receive clinical supervision to support their newly defined roles.

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

The judgement for Learning culture is based on the latest evidence we assessed for the Safe key question.

Safe systems, pathways and transitions Continuity of safe care Patients could access therapeutic interventions. At the last inspection we found that therapeutic intervention was not provided to patients because there were no suitably qualified or trained staff. During this inspection we found that patients identified as potentially requiring psychological intervention were discussed at a weekly multidisciplinary team meeting. There was a pathway in place for each level of intervention. Those deemed suitable were added to a waiting list for further assessment by the mental health clinical lead and integrative psychotherapist. Following assessment, patients were added to a formal waiting list. Waiting times were in line with community services.

The judgement for Safeguarding is based on the latest evidence we assessed for the Safe key question.

The judgement for Involving people to manage risks is based on the latest evidence we assessed for the Safe key question.

The judgement for Safe environments is based on the latest evidence we assessed for the Safe key question.

There were sufficient suitably qualified, trained and experienced staff available to provide psychological interventions. At our last inspection we found that some patients had unmet need because the service had no staff to provide psychological interventions to patients. During this inspection we found that the service had restructured staffing arrangements to ensure there was therapy provision. We found that the service had appointed a clinical matron for mental health and part-time therapist. The service had also arranged for some support from the mental health clinical lead and integrative psychotherapist (MHCLIP) (awaiting accreditation) to undertake patient assessments and determine the level of therapy required. Additional training had been provided to mental health nurses to provide low-level therapeutic intervention to patients. The MHCLIP provided a defined number of hours each month to assess patients referred for therapy, the number of hours were expected to increase to ensure the increased demand could be met. The newly appointed therapist provided tier 3 Cognitive Behavioural Therapy (CBT) (CBT is a type of treatment to help people alter thoughts and improve thoughts, feelings and behaviours) or Eye Movement Desensitisation and Reprocessing (EMDR) to patients (EMDR is a type of therapy used to treat trauma). Approval to increase the number of hours worked by the therapist had also been reviewed and recently increased. Four nurses in the mental health team had received bespoke training to provide tier 1 and tier 2 psychological interventions. Support, supervision  Staff received regular supervision. The intervention programme had recently commenced, staff received regular supervision and the matron was scheduled to provide clinical supervision in relation to the new psychological interventions.

The judgement for Infection prevention and control is based on the latest evidence we assessed for the Safe key question.

The judgement for Medicines optimisation is based on the latest evidence we assessed for the Safe key question.