The inspection of HMP Oakwood by HMI Prisons found a number of concerns with the prison for category C inmates.
The inspection found too many prisoners felt unsafe and there was clear evidence of drug and alcohol use.
Prisoners were unable to access basic facilities, such as cleaning materials and kit, the report said, while staff-prisoner relationships were not respectful.
Healthcare provision was "very poor", inspectors said, which resulted in the Care Quality Commission hitting the healthcare provider with a regulatory enforcement notice, it added.
More top news
Rail services on a commuter line in Birmingham have been delayed after a lorry smashed into a bridge, ripping the roof off its trailer.
A diving team has been called in to search a lake in Northampton in connection with the murder of a pensioner in 2015.
Labour MP Tristram Hunt has formally stood down from the House of Commons, paving the way for a by-election in Stoke-on-Trent Central.