A follow up inspection was carried out by a Care Quality Commission inspector and an inspector from Her Majesty’s Inspectorate of Prisons. This was because issues had been found during an inspection carried out in January 2014. Following this inspection we asked the provider to tell us what improvements they were going to make. We returned to the prison healthcare unit in June 2014 to see if the improvements had been made.

The original inspection in January had highlighted issues around prisoner information, equality and diversity work, clinical records, availability of mental health services and the safety and suitability of the healthcare premises and spaces available within the wider prison for treatment and consultation. An action plan submitted by the provider after our visit stated that these areas would be addressed prior to our return visit.

We found that some areas had been addressed and improvements had been made in information available, collaborative working, auditing and monitoring of clinical records and equality and diversity work had progressed. However we found that although there had been several meetings and work around long term solutions for the premises issue, no short term measures had been taken and there was no final agreement at the time of our visit for any more permanent solutions. This meant that the premises were still not fit for purpose and there had been no improvement in this area.

This inspection was an announced focused inspection carried out in January 2018 to confirm that the provider had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection between 3 and 6 April 2017.

The April 2017 comprehensive inspection was carried out in partnership with Her Majesty’s Inspectorate of Prisons (HMIP) under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions in accordance with our published methodology. CQC issued one Requirement Notice under regulation 12 of the Health and Social Care Act to Cumbria Partnership NHS Foundation Trust. This can be found in Appendix 2 of the joint inspection report. The joint inspection report can be found at:

https://www.justiceinspectorates.gov.uk/hmiprisons/inspections/hmp-haverigg/

This focused inspection report covers our findings in relation to those aspects detailed in the Requirement Notices dated 28 July 2017 and the joint HMIP/CQC report recommendations that related to healthcare delivery. We do not currently rate services provided in prisons.

Our key findings were as follows:

• The provider had taken steps to ensure that medicines were managed safely for patients.

• Patients with long-term conditions were now identified and followed up in a timely and systematic manner.

• Embedding a positive focus on staff training and development had led to improved staffing levels.

• A range of continuous improvements had been made to improve patient care and monitoring of safety and quality.

The action taken by the provider ensured that patients were receiving safe and effective treatment.