- 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 8 January 2025 assessment
Ratings - High secure hospitals
Our view of the service
Date of assessment: 13 August 2024 and 14 October 2024. Rampton is a high secure hospital with services run by Nottinghamshire Healthcare NHS Foundation Trust. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We have completed 3 assessments at this location using our new approach and therefore its overall rating is a combination of the new and old methodology. These were unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at all the quality statements across the key question responsive and safe. As we assessed all the quality statements across the key questions, responsive and safe, this has been re rated as part of this assessment. As we did not look at enough key question quality statements at these visits it means we use the ratings from the previous inspection to rate the key questions effective, caring, and well-led. During the assessment on 13 August 2024, we visited 5 wards: Newmarket ward and Aintree ward (2 of the 4 dedicated wards for patients with a learning disability) and Erskine ward, Carlisle ward and Blake ward (3 of the 6 dedicated men’s wards). During this assessment we found a breach in regulation under safe care and treatment and asked the trust to submit an action plan in response to this. Staff were not routinely completing routine checks for side effects from medication. During the assessment on 14 October, we visited 2 wards: Eden ward, which is a male pre-discharge ward and Adwick ward, which is a male mental health high intensive care unit.
People's experience of this service
In August we spoke with 18 patients across 5 wards and reviewed 11 patient care and treatment plans. Patients told us staff were supportive and approachable. They were able find out information about their medication. Staff supported them to do things for themselves. Patients had access to meaningful activities and felt safe on the wards. However, patients on Erskine ward were very hot as there was no fresh air coming through onto the ward. Patients on Aintree and Newmarket wards felt the wards were often short staffed. In October we spoke with 9 patients across 2 wards and reviewed 4 patient care and treatment plans. Patients told us they felt that staff understood them and knew their needs. When required patients received specialist support and all patients had access to advocacy services. On Eden ward staff worked with other agencies to facilitate smooth entry and discharge from the service. Patients felt they were involved in their treatment. However, this was not always the case on Adwick ward where a patient had not had access to fresh air and was not aware why. However, other patients on Adwick ward knew why they had been in seclusion when their behaviours escalated.