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Inspection Summary


Overall summary & rating

Good

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.
Inspection areas

Safe

Good

Updated 23 July 2019

We rated safe as good because:

  • The service was clean and comfortably furnished, with all environmental risks assessed and mitigated against.

  • 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.

  • We reviewed five client records and found that they all had a thorough risk assessment completed, this included an early exit from treatment risk assessment and risk management plans. Risk assessments were reviewed as part of twice weekly one to one sessions.

  • The service had not recorded any serious incidents in the past year. They had an incident reporting policy that all staff were aware of and any incidents were discussed in the weekly staff team meeting.

  • Medications were stored and managed effectively.

Effective

Good

Updated 23 July 2019

We rated effective as good because:

  • 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.

  • Staff 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.

  • Staff supported clients to live healthier lives through participation in physical activity and by encouraging healthy eating options. Clients could access smoking cessation through the local GP service.

  • All staff, including volunteers completed an induction that covered role expectations, the service ethos and boundaries training.

  • The service held weekly team meetings where staff discussed clients, risks, incidents, resettlement and training.

However,

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

Caring

Good

Updated 23 July 2019

We rated caring as good because:

  • Clients we spoke with told us staff were genuinely caring and compassionate. They felt respected and cared for by staff.

  • Staff supported clients to understand and manage their care, treatment or condition. The service employed a number of staff who had received treatment for substance misuse and demonstrated to clients that long term recovery was achievable.

  • Clients completed a self-assessment of their needs and agreed recovery plan goals for each area they had identified. Clients were fully involved in setting their goals collaboratively with staff.

  • The service sent information to families and carers about what rehabilitation involves and what to expect. Families were invited to attend the service before a client completed treatment to discuss aftercare plans.

Responsive

Good

Updated 23 July 2019

We rated responsive as good because:

  • The service employed a resettlement manager who co-ordinated discharge plans and aftercare for clients completing treatment. The service started discharge planning with clients on admission. Discharge plans included health, financial, accommodation and employment needs.

  • The service offered a move on house for clients completing treatment where they could continue to access counselling and group sessions at the service.

  • Clients catered meals for the whole service on a rota basis. Staff also ate with clients and supported with cooking where needed. Meal plans were agreed as part of the weekly planning meeting.

  • Clients attended mutual aid support groups to help build recovery focussed support systems.

  • The service had not received any complaints in the past year.

Well-led

Good

Updated 23 July 2019

We rated well-led as good because:

  • The service had a vision and strategy to empower women to live a life in recovery, free from addictions and this vision was clearly demonstrated by staff. The service had a clear definition of recovery which was shared and understood by all staff.
  • Managers had a good understanding of the services they managed. They could explain clearly how the team was working to provide high quality care.
  • Staff told us they felt supported in their roles and were proud to work for the service. They had good morale and worked well as a team.
  • The service had completed all the actions required following the previous inspection.
  • The service had implemented a suggestions box and responses were published on a clients notice board and clients could also give feedback at weekly community meetings.

Checks on specific services

Substance misuse services

Good

Updated 23 July 2019