• Residential substance misuse service

Archived: Ley Community Drug Services

Overall: Good read more about inspection ratings

26 Sandy Lane, Yarnton, Kidlington, Oxfordshire, OX5 1PB (01865) 378600

Provided and run by:
Ley Community Drug Services

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Background to this inspection

Updated 9 March 2018

  • The Ley Community is a therapeutic community, first established in 1971 to provide a residential service for all types of addictions. The Ley is situated in its own grounds in Yarnton, Oxford. The Ley provides a residential and detoxification service for men and women over the age of 18.
  • The programme provided peer driven, self-help and abstinence and helped to enhance life skills and recovery capital (internal and external support for clients to maintain recovery). The programme encouraged behaviour change, developing self-worth, and self-confidence improved social skills together with the ability to manage personal responsibilities, physical and mental health and well-being.
  • The Ley has two phases, the first lasts up to 26 weeks and the second phase (employment and move on support) also of up to 26 weeks is the aftercare and moving on part of the programme. Time periods are flexible. Within these phases are five stages starting with orientation and settling in and the last is independent living. The Ley community has three different houses Agulnik is used for clients at the beginning of the programme, Mandlebrote house is as clients are moving on (currently not being used for accommodation) and Palmer for moving on and independent living.
  • Clients could self- refer or be referred by any other professional. Clients were funded by their local commissioning group or were self -funded. Referrals into the service came from Local authority, prisons, social care services and community substance misuse services.
  • The location is registered with the Care Quality Commission to provide ‘accommodation for persons who require treatment for substance misuse’. There was a registered manager in place.
  • The Ley community was last Inspected in August 2016; we served six requirement notices and told the organisation it must:
  • ensure staff had received the mandatory training required to carry out their roles safely.
  • ensure that safeguarding issues were appropriately escalated
  • ensure that the health and safety of the environment was appropriately assessed and procedures for children visiting the service were in place
  • ensure that staff were receiving regular supervision and that complaints were being appropriately recorded.
  • On this inspection, January 2018, we found that the organisation had met all the requirement notices and with a new management team had made the required improvements and was continuing with further development, improvements and changes.

Overall inspection

Good

Updated 9 March 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to pilot a new inspection process being introduced by CQC which looks at the overall quality of the service.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

The service could provide accommodation for up to 58 people who needed support with rehabilitation from addictions. At the time of our visit 29 people were using the service.

This was an unannounced inspection.

The last inspection for this service took place in January 2014. We found the provider did not have appropriate systems to assess and manage identified risks of people’s treatment. We received an action plan from the provider who told us what they would do to improve. We found the provider had taken appropriate action. Where a risk had been identified as part of the person’s care, support workers had implemented risk assessments.

People told us the support they received from all staff whilst receiving treatment at the Ley Community was great. People were supported with their rehabilitation, and felt they were never judged by support staff.

People had a structured rehabilitation programme and were given jobs in the community. People were involved in cooking and cleaning. These tasks enabled people to develop skills they would need when living independently.

People received treatment and support which was based on their individual needs and goals. People were supported by support staff to recognise and achieve personal goals which they could use after they had completed their treatment.

People were safe from abuse and harassment. People were supported to raise concerns in group therapy sessions. These sessions allowed people to discuss their concerns in a safe environment. People knew how to raise concerns, but felt group sessions allowed them to deal with their concerns effectively.

Staff were well trained, committed and passionate about the support they provided. A number of staff had previously received treatment for drug and alcohol addiction. Staff used their knowledge and experience to help people who were anxious about the treatment they needed. People were wholly positive about the support they received from staff. People and staff celebrated the successes of people’s treatment and discussed how to ensure their treatment was current for their needs.

People’s views and concerns were respected and acted upon. Support staff discussed people’s concerns and ensured where action could be taken they were.