Updated 10 October 2018
Assisi Community Care Limited consists of one registered location (Francis House), that provides residential rehabilitation to men recovering from alcohol misuse. All clients are expected to be abstinent. The service includes an accommodation facility known as Clare House. There were 10 clients receiving services at the time of our inspection. The service has capacity for up to 20 clients. Most clients receive funding from the local authority for their treatment or stay. The service is registered by the CQC to provide the following services:
- Accommodation for persons who require nursing or personal care
- Accommodation for persons who require treatment for substance misuse
Some clients took part in a substance misuse recovery programme. Some clients were elderly long-term residents.
The service has a registered a manager and a nominated individual. Our last comprehensive inspection report was published on 16 March 2017.
At our previous inspection we found the lack of a clear model of care meant that client needs were not met and that care was not delivered in line with best practice. We found the care and treatment of clients was not appropriate to meet individual needs and did not reflect the increasing needs of the client group associated with the ageing process. We also found that the provider was not correctly carrying out safe administration of medication. We told the provider it must:
- ensure that there is a clear model of rehabilitation that ensures client rehabilitation needs are fully met and that care is delivered in line with best practice.
- ensure that the staffing levels are safe at all times, including at night.
- ensure that the physical environment is suitable to meet the risks of the client group, such as reduced mobility and memory and other factors associated with the ageing client group.
- ensure that that all medicines given to clients have the legally required prescribing and dispensing information, including dose instructions and patient name.
We served a number of requirement notices under the Health and Social Care Act 2008.
During this current inspection we found that some of the required improvements had been made to the environment such improving fire safety and the installation of a ramp to meet the needs of patients. Improvements had been made to ensure that clients had the legally required prescribing and dispensing information. The provider had a contract with a pharmacy service that provided an annual audit. Staff were appropriately trained to handle medicines and that the service was now fully staffed.
However, further improvement was still required to ensure a clear model of care and treatment was delivered in accordance with national guidelines. In addition, we found a number of other areas that require improvement and have served further requirement notices under the Health and Social Care Act (these are detailed in the report).