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Archived: Shardale Specialised Therapeutic Community

Inspection Summary


Overall summary & rating

Updated 21 July 2016

We do not currently rate independent standalone substance misuse services.

We found the following areas of good practice:

  • There service was clean and well maintained. Maintenance records were up to date and comprehensively completed. There were good health and safety arrangements in place regarding cleaning and kitchen use. Staffing levels were adequate for the service with no use of bank or agency staff. Staff understood their responsibilities in terms of safeguarding. Staff completed thorough risk assessments. Medicines were managed safely including self-medication.

  • Staff completed comprehensive needs assessments for clients and staff and clients developed recovery based, outcome focussed care plans. The treatment programme evidenced good practice guidance. Staff completed audits to check clinical care and the service supplied required information to the national drug treatment monitoring service. Managerial and clinical supervision took place regularly and all staff received an annual appraisal.

  • Staff respected clients and valued them as individuals. Feedback from clients was positive about the way staff treated them. There was a strong, visible client-centred culture. All clients had full involvement with their treatment throughout their stay. Carers gave positive feedback on the service and the staff.

  • Admissions were planned with clients able to visit the service and spend time there prior to admission. Discharge planning began at admission and a clear plan and outcomes were devised to work within the timescale set. Staff worked with clients to prevent unplanned discharges.

  • There was good provision of rooms and space for therapy. The treatment programme provided activities for clients seven days a week. The rehabilitation programme included free time and dedicated time for clients to spend with their key worker.

  • There was a good governance structure to oversee the operation of the service. There were clinical governance plans in place with regular review and audit.

However, we also found the following issues that the service provider needs to improve:

  • The service currently has no registered manager.
  • Staff were not up to date with all mandatory training.
  • Staff did not have any further training provided in terms of substance misuse or therapeutic approaches or training in running group work programmes.
  • Staff do not receive training in understanding the Mental Capacity Act.
  • There was no Mental Capacity Act policy.
  • There was no Duty of Candour policy.
Inspection areas

Safe

Updated 21 July 2016

Effective

Updated 21 July 2016

Caring

Updated 21 July 2016

Responsive

Updated 21 July 2016

Well-led

Updated 21 July 2016