{"id":812856,"date":"2026-10-24T22:50:33","date_gmt":"2026-10-24T22:50:33","guid":{"rendered":"https:\/\/www.newsbeep.com\/uk\/812856\/"},"modified":"2026-10-24T22:50:33","modified_gmt":"2026-10-24T22:50:33","slug":"rampton-hospital-told-it-requires-improvement-as-staff-not-able-to-take-toilet-breaks","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/uk\/812856\/","title":{"rendered":"Rampton Hospital told it requires improvement as staff not able to take toilet breaks"},"content":{"rendered":"<p>It was also revealed that staff regularly were unable to take food and toilet breaks<img decoding=\"async\" alt=\"Photo shows Rampton Hospital in Nottinghamshire\" loading=\"eager\"  src=\"https:\/\/www.newsbeep.com\/uk\/wp-content\/uploads\/2026\/10\/1_COURTS-8-GirlsRampton.jpg\" \/><\/p>\n<p aria-label=\"Rampton Hospital in Nottinghamshire\" class=\"ImageCaption_caption-title__ccyQU\" data-testid=\"caption-title\">Rampton Hospital in Nottinghamshire(Image: PA)<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">A high security Nottinghamshire hospital has been rated as \u2018requires improvement\u2019 as a new report revealed staff are regularly unable to take food and toilet breaks.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Rampton Hospital, in <a class=\"TextLink_text-link__dBSS0 TextLink_enabled__dJF3l\" href=\"https:\/\/www.nottinghampost.com\/all-about\/retford\" rel=\"nofollow noopener\" target=\"_blank\">Retford<\/a>, is a <a class=\"TextLink_text-link__dBSS0 TextLink_enabled__dJF3l\" href=\"https:\/\/www.nottinghampost.com\/all-about\/nhs\" rel=\"nofollow noopener\" target=\"_blank\">high secure mental health hospital<\/a> which cares for people detained under the Mental Health Act. It is one of three high security hospitals in England and Wales.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">The health watchdog the <a class=\"TextLink_text-link__dBSS0 TextLink_enabled__dJF3l\" href=\"https:\/\/www.nottinghampost.com\/all-about\/nhs\" rel=\"nofollow noopener\" target=\"_blank\">Care Quality Commission<\/a> conducted the assessment, in April, after it received reports from whistle-blowers and patients expressing their concerns about staff wellbeing and patient safety due to low staffing levels.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">The hospital is run by the scandal-hit <a class=\"TextLink_text-link__dBSS0 TextLink_enabled__dJF3l\" href=\"https:\/\/www.nottinghampost.com\/all-about\/nottinghamshire\" rel=\"nofollow noopener\" target=\"_blank\">Nottinghamshire <\/a>Healthcare <a class=\"TextLink_text-link__dBSS0 TextLink_enabled__dJF3l\" href=\"https:\/\/www.nottinghampost.com\/all-about\/nhs\" rel=\"nofollow noopener\" target=\"_blank\">NHS<\/a> Foundation Trust.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Inspectors identified seven breaches of regulations relating to staffing, safe care and treatment, dignity and respect, person centred care, premises and good governance.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\"><a class=\"TextLink_text-link__dBSS0 TextLink_enabled__dJF3l\" href=\"https:\/\/www.nottinghampost.com\/all-about\/nhs\" rel=\"nofollow noopener\" target=\"_blank\">Staff shortages<\/a> regularly impacted the delivery of care and the patient experience, with staff saying they felt \u2018broken\u2019 and \u2018demotivated.\u2019<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">The report read: \u201cThe service did not care about or promote the wellbeing of their staff. They did not support or enable staff to deliver person-centred care.\u201d<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Patients reported feeling worried about <a class=\"TextLink_text-link__dBSS0 TextLink_enabled__dJF3l\" href=\"https:\/\/www.nottinghampost.com\/all-about\/nhs\" rel=\"nofollow noopener\" target=\"_blank\">staff<\/a>, saying they could see that staff don\u2019t get breaks and that staff members are not getting the chance to go to the toilet or have something to eat.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Some aspects of the hospital were not safe with staffing not always at effective levels, leaving \u201can increased risk that people were not always accessing the right care and treatment\u201d.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Between January 1, 2026, and April 29, 2026, the hospital recorded 4,499 incidents. 364 were red flag staffing events &#8211; which are called when patient care could be compromised by low staffing levels.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">During this time 303 patient therapy sessions were cancelled.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Victoria Green, the CQC&#8217;s deputy director of mental health in Nottinghamshire, said: \u201cWhen we visited Rampton Hospital, we found staff shortages were affecting almost every part of people\u2019s care, despite this being a long-standing concern.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">\u201cLeaders hadn\u2019t got on top of it and it was disappointing the hospital hadn\u2019t always learned from issues we\u2019d raised before.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">\u201cHowever, we saw staff who cared deeply about the people they support and some genuinely person-centred work, particularly in the women\u2019s service.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">\u201cLeaders were open with us about the challenges they faced and had already made some improvements since our last visit. We\u2019ve told the trust where it needs to improve and will continue to monitor the hospital closely to make sure people get safer, more responsive care.\u201d<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">The inspection uncovered one incident where a patient was restrained and placed in seclusion, during which they were injured. The patient then had to wait more than 24 hours to get treatment for a fractured wrist because staff could not arrange secure transport quickly enough.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Documents also revealed that during this time there was no recorded evidence that staff \u201coffered or administered pain relief\u201d.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">The National Women\u2019s service, which is part of the hospital, also experienced shortcomings.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">These included a blanket ban on patients having sanitary bins, but inspectors could not find a documented rational reason for this restriction. Instead, patients had to dispose of sanitary products in paper bags and either hand them directly to staff or find a staff member to unlock a restricted disposal area.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Patients told the CQC that the arrangement lacked privacy, with one calling the walk to the disposal area a \u2018walk of shame\u2019.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Staff were regularly moved between wards to help cover shortages, meaning that patients were often cared for by staff who didn\u2019t know their needs well, causing anxiety among staff and patients.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Patients&#8217; freedom of movement was often restricted during the day, with staff asking them to remain in their room during staff meetings, medication rounds and during periods of staff pressure.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">During their inspection, CQC inspectors also found a \u201ctoilet seat in a patient&#8217;s shower room covered in dried faeces\u201d.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Issues were also identified in the administration of medicines, including inconsistent checks of clinic rooms and the inconsistent recording of the date on which medicines were opened meaning no one could be assured that medicines were still fit for use.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">In this area, inspectors also discovered that records did not always include rationale for administering sedative medicines and staff did not always have protocols to guide decisions about when to administer them.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">Mark Axcell, chief executive of Nottinghamshire Healthcare, said: \u201cThe safety, wellbeing and experience of our patients will always be our highest priority. Inspections are an important opportunity to understand what we are doing well and where we need to improve, so we welcome the CQC\u2019s report following its assessment of our high secure services at Rampton Hospital in April this year.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">\u201cWe accept the CQC\u2019s findings and recognise where need to do better. We are fully committed to addressing each area identified for improvement through a detailed action plan with clear accountability.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">\u201cWe have already made significant progress with a number of examples of positive change. For example, we have introduced \u2018Activity First\u2019, to help ensure patients can access and engage in meaningful activities, as part of business continuity and reducing restrictive practice. Patients have told us how much they value this and the feedback has been overwhelmingly positive.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">\u201cSince April, we have appointed 19 staff nurses and 29 healthcare assistants to our high secure services. Some will work flexibly across wards, enabling us to respond more effectively to changing patient need and levels of dependency. We continue to recruit every month, including newly qualified nurses who will join us later this year.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">\u201cAlongside this we have enhanced training for colleagues in learning disabilities and autism, developed plans to improve our specialist learning disability ward environments, and introduced innovative approaches to patient observations, reducing restrictive care and segregation wherever possible.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">\u201cI want to thank colleagues at the Hospital for their dedication, professionalism and compassion. Caring for patients in a high secure environment can be incredibly challenging and I am particularly proud that the report acknowledges the compassion and person-centred care delivered by colleagues, often in difficult circumstances.<\/p>\n<p class=\"Paragraph_paragraph-text__PVKlh\" data-tmdatatrack=\"content-unit\" data-tmdatatrack-type=\"paragraph\">\u201cWhilst we know there is more work to do, I am confident that the positive changes already made provide a strong foundation for further progress. I want to reassure patients and their families that we are listening, learning and taking action to ensure we provide the safe, responsive and high quality care they deserve.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"It was also revealed that staff regularly were unable to take food and toilet breaks Rampton Hospital in&hellip;\n","protected":false},"author":2,"featured_media":812857,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[43],"tags":[102,2960,15257,76619,56,54,55],"class_list":["post-812856","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-health","tag-healthcare","tag-nottinghamshire","tag-retford","tag-uk","tag-united-kingdom","tag-unitedkingdom"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/812856","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/comments?post=812856"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/812856\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media\/812857"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media?parent=812856"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/categories?post=812856"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/tags?post=812856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}