Archived: Hebron House

Updated 23 July 2019

Hebron House is a residential rehabilitation service provided by The Hebron Trust for women with drug or alcohol dependency. It was registered with the Care Quality Commission to provide accommodation for persons who require treatment for substance misuse. Hebron House has a registered manager in post.

The service was located in a residential area of Norwich. It was close to local amenities and public transport. The service was able to take up to ten clients at any time and had staff on duty 24 hours a day. At the time of our inspection, there were nine clients. All clients had to be free of any substance use before admission, so they often arrived at the service following a detoxification programme.

Hebron House did not offer clinical or prescription medicine treatments. It delivered psychosocial interventions and provided a therapeutic environment to support recovery from addiction. Hebron House accepted admissions from statutory organisations and self-funders.

Hebron House had been working with women with alcohol and drug addiction since 1987. Clients took part in a therapeutic programme based on the 12-step principles of alcoholics anonymous. Staff delivered treatment for people whose main addiction is to alcohol or drugs. However, due to the model used, staff also considered secondary addictive behaviours, for example, eating disorders.

Hebron House was last inspected in August 2017. At that time, we noted two breaches of the Health and Social Care Act 2008 (regulated activities) regulations 2014 as follows:

Regulation 17 – good governance. The provider did not review and update the policies and there was no system in place to monitor this

Regulation 12 – safe care and treatment. The provider did not ensure that there were risk assessments in place when a DBS (Disclosure and Barring Service check) identified risks. The provider did not identify and take action where there were errors in transport, storage and administration of medication.

During this inspection, we found that these requirements had been met.

Updated 23 July 2019

• The service employed a sufficient number and range of staff for clients to receive one to one sessions with a counsellor twice per week as well as group sessions.
• Staff completed thorough risk assessments for all clients, this included an early exit from treatment risk assessment and risk management plans.
• Staff completed a comprehensive assessment and holistic individual recovery plan with all clients on admission to the service and these were reviewed in weekly one to one sessions.
• The service provided a range of care and treatment interventions suitable for the client group including one to one sessions with a counsellor, cognitive behavioural therapy groups and 12-step therapy groups.
• Blood borne virus testing was offered to all clients through a local health clinic.
• Clients we spoke with told us staff were genuinely caring and compassionate. They felt respected and cared for by staff. Clients were fully involved in setting recovery care plan goals.
• The service employed a resettlement manager who co-ordinated discharge plans and aftercare for clients completing treatment. Discharge plans included health, financial, accommodation and employment needs.
• The service had a vision and strategy to empower women to live a life in recovery free from addictions and this was clearly demonstrated by staff. Staff reported high morale and good job satisfaction.
• The service had completed all actions required from the last inspection.

However,

• Staff did not always receive management supervision in line with policy.

Updated 23 July 2019