- 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 23 May 2025 assessment
Ratings - High secure hospitals
Our view of the service
Date of Assessment: 11 February to 5 March 2025
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 5 assessments at this location using our new approach and therefore its overall rating is a reflection the new methodology. We have rated this service as requires improvement. This was an 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 questions caring and well led. As we assessed all the quality statements across the key question, caring and well led, these have been re rated as part of this assessment. As we did not look at enough key question quality statements at this visit it means we use the ratings from the previous inspection to rate the key questions safe, effective, and responsive. During this assessment we visited all 23 wards at the hospital over 4 weeks. We found 4 breaches of the regulations in relation to safeguarding, privacy and dignity, premises and equipment and safe and effective staffing. We have asked the trust to produce an action plan to address these issues.
People's experience of this service
We spoke with 58 patients across, reviewed 31 patient care and treatment plans, attended, 2 ward business meetings, 1 daily demand meeting, 1 forensic service performance meeting and 1 care programme approach meeting. Patients told us staff were kind and caring. We saw staff were kind and compassionate when supporting patients. However, the service did not always support patients’ individual needs. Appropriate bariatric care equipment was not in place where required and patients had to use equipment’s including wheelchairs and bed that were not suitable meet their needs. Due to staff shortages patients told us they often had staff supporting them who did not know them as well. Staff shortages led to patients in long term segregation did not always have access to fresh air and a showers and activities being cancelled.