The Care Quality Commission
  • Residential substance misuse service

Archived: Risdon Enterprises CIC

Risdon Farm, Okehampton, Devon, EX20 3AJ (01837) 851240

Provided and run by:
Risdon Enterprises C.I.C.

Important: The provider of this service changed. See old profile

All Inspections

21 March 2017

During an inspection looking at part of the service

We do not currently rate independent standalone substance misuse services.

Following our inspection in July 2016, we issued five requirement notices. During the current inspection, we found that the service had addressed the issues that had caused us to issue requirement notices under the following regulations:

  • Regulation 16 HSCA (RA) Regulations 2014 Receiving and acting on complaints
  • Regulation 12 HSCA (RA) Regulations 2014 Safe care and Treatment
  • Regulation 18 HSCA (RA) Regulations 2014 Staffing

The provider was now meeting these regulations of the Health and Social Care Act (Regulated Activities) Regulations 2014.

However, the provider remained non-compliant with the following regulation breaches:

  • Regulation 17 HSCA (RA) Regulations 2014 Good Governance.
  • Regulation 13 HSCA (RA) Regulations 2014 Safeguarding service users from abuse and improper treatment.

In addition, the provider was in breach of Regulation 9 HSCA (RA) Regulations 2014. This was because staff placed blanket restrictions on clients who were not involved in developing and reviewing the code of conduct or had no say in the restrictions. The service did not meet the psychological treatment needs of service users and did not sufficiently reflect their preferences.

25 - 26 July 2016

During a routine inspection

  • Risdon Enterprises Community Interest Company provided rehabilitation for clients with alcohol or drug dependency issues. The provider had the potential to provide detoxification but had not done so for years and lacked the essential facilities to provide it. The service had made good links with local GPs and community mental health teams to support client care.
  • The service assessed clients for risk but their assessments lacked exploration and planning to minimise risks. Care plans did not include a plan for the client leaving the service early.
  • The service did not take adequate steps to ensure the safety of clients and visiting children and those of staff. It did not provide training in safeguarding children. Clients complained about how some staff treated them and there was no bullying and harassment policy. Clients were unclear about how to complain and did not have faith or confidence in the complaints process. Staff had not all completed the training in the Mental Capacity Act and when we talked to staff they had not fully understood the fundamental principles of the Mental Capacity Act.
  • Processes and systems to enable the provider to learn from complaints and incidents and to develop the service accordingly were not in place. The provider did not measure or analyse staff sickness and turnover. Systems were not in place to ensure all staff had completed mandatory training on time. The provider did not produce audits of the service to ensure the service was operating safely and effectively. Staff did not use outcome measures with clients. This meant the service lacked the data needed to determine the effectiveness of the treatment they provided. There were no satisfaction surveys for staff or clients.
  • Clients had supportive relationships with their individual recovery workers and met with them for individual support every week. Clients were involved in planning their care. Staff supported clients during their final phase of treatment to find accommodation, work or further education and they were encouraged to volunteer in the community. Throughout their treatment, clients were encouraged to gain skills, develop interests and to be involved in the community. Clients’ families and carers were involved in their care when they wanted them to be.