- SERVICE PROVIDER
Nottinghamshire Healthcare NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
We served a Section 29A warning notice on Nottinghamshire Healthcare NHS Foundation Trust on 1 November 2025 for failing to meet the regulations related to the governance of long term segregation environments at Rampton Hospital and Arnold Lodge.
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 7 July 2025 assessment
Contents
Ratings - Community health inpatient services
Our view of the service
Date of Assessment: 14 May 2025
Nottinghamshire Healthcare NHS Foundation Trust’s community health in-patient service consists of 72 bed inpatient unit across 3 wards specialising in rehabilitation located at Lings Bar Hospital. There are three wards at the hospital: John Proctor ward, Castle ward and Forest ward. During this assessment we visited Castle ward and Forest ward. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We have completed 2 assessments at this location using our new approach and therefore its overall rating is a combination of the new and old methodology. 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 Effective and Caring and reviewed the areas of improvement identified within the Key Question Safe from the last assessment. Therefore, the rating for the key questions Safe, Effective and Responsive reflect the findings of this assessment and we used the ratings from the previous inspection to rate the Key questions Responsive and Well led. During this assessment we found the trust had met breaches in regulation identified at the last assessment under safe and effective staffing and good governance. However, we found a new breach in regulation under good governance and the trust was requested to produce an action plan in response to this.
People's experience of this service
As part of this assessment, we spoke with 3 patients and 11 relatives of individuals recently discharged from the hospital. We also reviewed 12 patient care and treatment records and observed both a staff huddle and a performance meeting. Most relatives reported feeling involved in their family member’s care and assessment process; however, 1 relative expressed concern that communication around discharge felt rushed. Activity coordinators developed a comprehensive program of sensory, educational, creative, and functional sessions aimed at enhancing patients’ capabilities and supporting a safe and timely discharge. Patients consistently described staff as attentive, respectful, and supportive, and shared how staff went above and beyond to accommodate dietary needs, including offering a variety of suitable and culturally appropriate food options.