We considered our inspection findings to answer questions we always ask: -
' Is the service safe?
' Is the service effective?
' Is the service caring?
' Is the service responsive?
' Is the service well-led?
Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, the staff supporting them and from looking at records.
Is the service safe?
People told us they felt safe when receiving treatment and support from Addaction. We found that safeguarding procedures were robust and staff understood how to safeguard people they supported.
People told us that they felt fully involved in their care and that their rights and dignity were respected. The young people we spoke with stated they consistently found staff to be respectful and supportive towards them. One person told us, 'It's a really good place to go, I feel like I'm respected as a person'.
Addaction had an effective system in place to ensure managers and staff learnt from untoward incidents. This included accidents, incidents, complaints, concerns, whistleblowing and investigations. This meant the provider reduced the risks to people and helped the service to continually improve.
Staff knew about risk management plans and showed us examples where they had followed them. People were not put at unnecessary risk. Records we reviewed evidenced that people were involved and made decisions about their treatment and support.
Policies and procedures were in place to make sure that unsafe practice was identified and people were protected.
Is the service effective?
People's social, health and support needs were assessed with them, and they were involved in writing their support plans. Support plans were individualised, signed, dated and reviewed jointly by the young person concerned and their key worker.
Staff told us that they accessed and completed a broad range of training opportunities. In addition, we were informed that staff received regular supervision and appraisal. Records we reviewed confirmed this. One person told us 'The staff know what they're doing. I work with my worker jointly'.
Is the service caring?
We spoke with young people accessing Addaction to gain an understanding of their experiences of treatment at the service. Their response was very positive. One person told us, 'I was feeling a bit anxious when I first went, but they were brilliant and put me at ease'. Another person said, 'My worker helps me to set goals in my life and to work through the help I need'.
Staff explained that they worked in a caring and friendly manner. They described being respectful to and working at the young person's level, without being patronising. One staff member told us, 'We agree to meet with the young person wherever they feel comfortable to meet. It's always about being friendly and supportive'.
Is the service responsive?
People's needs were assessed before they accessed the service. This meant Addaction were able to confirm that they could meet the individual's support needs. Treatment was reviewed regularly with the individual concerned to meet changing needs. Consent and information sharing protocols were agreed, signed and reviewed.
Addaction provided a service that responded to people's social, recreational, employment and recreational needs. The young people we talked with expressed feeling a part of the community as a result.
Is the service well-led?
Addaction had a range of quality internal and external audits in place. Other regular processes underpinned this, such as satisfaction surveys, staff supervision and team meetings. We observed that Addaction was continuously seeking ways to improve its quality of service.
Staff told us they were clear about their roles and responsibilities. One person told us, 'Senior managers often come in and support us. We have the opportunity to discuss any issues we may have. I feel listened to'.