Meijer House

Updated 10 August 2022

Our last inspection of the service was in November 2018, when the service was rated good. However, there were recommendations around having clear values that staff were able to articulate, and policies and procedures being fit for purpose and up to date. During this inspection we saw that staff understood the values of the service, and policies and procedures were purposeful and regularly reviewed.

What people who use the service say

Clients were very positive about the service they received. They said that staff were kind, respectful and caring. Clients told us staff were very supportive and helpful, always making time to talk to them. All clients told us they felt safe.

Clients told us they liked the structured timetable and appreciated the discipline the service gave them. Clients felt involved in their care and told us their individual needs were being met.

Updated 10 August 2022

Western Counselling provides accommodation and treatment for up to 17 people who require residential rehabilitation for a dependency on alcohol or opiates. The service also offers medically monitored detoxification for clients who are assessed as low risk. The service uses the 12-step model of treatment (a structured, abstinence model). Most people are funded by their home local authority, but private funded clients also use the service. The service is registered to provide care and support for any person over 16 years of age.

At the time of this inspection there were seven clients at the service with one client undergoing detoxification.

The service is registered to provide accommodation for persons who require treatment for substance misuse and treatment for disease, disorder or injury. There is a registered manager in post.

Our rating of this service stayed the same. We rated it as good because:

• The clinical premises were safe and clean. The service provided safe care and had enough, competent staff. Staff assessed and managed risk well and followed good practice with respect to safeguarding.
• Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided treatment suitable to the needs of the clients and in line with national guidance. Staff engaged in clinical audits to evaluate the quality of care provided.
• The teams included or had access to specialists required to meet the needs of clients under their care. Managers ensured staff received training, supervision and appraisal. Staff worked well together as a cohesive team and with relevant services outside the organisation.
• Staff treated clients with compassion and kindness and understood the individual needs of clients. They actively involved clients in decisions and care planning.
• The service was easy to access. Staff planned and managed discharge well, including unplanned early exit from the service.
• The service was well led, and the governance processes ensured that its procedures ran smoothly.

Updated 10 August 2022

Our rating of this service stayed the same. We rated it as good because:

• The service provided safe care. The clinical premises where clients were seen were safe and clean. The service had enough staff. Staff assessed and managed risk well and followed good practice with respect to safeguarding.
• Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the clients and in line with national guidance about best practice. Staff engaged in clinical audits to evaluate the quality of care they provided.
• The teams included or had access to specialists required to meet the needs of clients under their care. Managers ensured that these staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team and with relevant services outside the organisation.
• Staff treated clients with compassion and kindness and understood the individual needs of clients. They actively involved clients in decisions and care planning.
• The service was easy to access. Staff planned and managed discharge well, including unplanned early exit from treatment.
• The service was well led, and the governance processes ensured that its procedures ran smoothly.

Updated 18 January 2019

Western Counselling is a residential rehabilitation service for substance misuse.