This inspection was an announced focused inspection carried out on 26 & 27 April 2017. The purpose of the inspection was to confirm that the service provider, Northamptonshire Healthcare NHS Foundation Trust had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous joint inspection with Her Majesty’s Inspectorate of Prisons between 16 & 19 May 2016 and in the Requirement Notice that we issued on the 6 October 2016. This report covers our findings in relation to those requirements.

Our key findings were as follows:

• Night time monitoring arrangements for prisoners with drug and or alcohol dependency needs had significantly improved.
• Secondary health assessments now took place in one of two areas, both of which provided an environment which maintained patient confidentiality.
• An inpatient unit pathway was now in place, which meant that only prisoners with identified clinical needs should be admitted to the unit.
• Access arrangements to dental clinics had significantly improved and prisoners had access to a fully operational modern dental suite.
• The standard of cleanliness within the inpatient unit had significantly improved as had the standard of cleanliness across wing based treatment rooms.