Archived: Addaction - Regent Street

Updated 28 April 2016

Regent Street is a substance misuse service provided by Addaction. The organisation Addaction has 52 services nationally registered with the Care Quality Commission (CQC). The CQC registered Regent Street on 21 January 2011 for the treatment of disease, disorder or injury and for diagnostic and screening procedures. Regent Street has a CQC registered manager.

Addaction Regent Street is commissioned by Barnsley Metropolitan Borough Council (BMBC). The service supports young people up to 18 who are affected by their own or parental substance misuse. It provides care, treatment and support to reduce the risks associated with drug or alcohol misuse and to help young people build resilience. The service does this using psychosocial interventions (PSI); these are therapies that relate to social factors, thoughts and behaviours. Although BMBC also commissions the service to provide clinical interventions, this has not been required since the contract started. This was because opiate use in young people has decreased, with cannabis and alcohol being the main problematic substances. At the time of our inspection, the service had 58 active clients. The office base in the centre of Barnsley was used for some appointments; staff also saw people at other venues, for example, schools, colleges or sports centres.

CQC had previously inspected the service in September 2012 and January 2013 against the previous outcome measures. The service was meeting all the requirements against the following standards:

• Consent to care and treatment
• Care and welfare of people who use services
• Safeguarding people who use services from abuse
• Requirements relating to workers
• Complaints
• Respecting and involving people who use services
• Supporting workers
• Assessing and monitoring the quality of service provision.

This inspection was completed using our new approach of asking five key questions about the quality of the service. See the section on ‘How we carried out this inspection’ below.

Updated 28 April 2016

We do not currently rate substance misuse services.

We found the following areas of good practice:

• there was enough staff to meet the needs of the young people using the service

• staff received necessary training and access to a range of other specialist training

• managers supported staff, who received supervision and appraisals and were able to contribute with suggestions

• staff assessed risks effectively and prepared plans detailing how they would be mitigated

• staff carried out comprehensive assessments of a person’s needs to plan their care and developed personalised, holistic, and up-to-date recovery and support plans alongside the young person

• staff delivered treatment and communicated in an age-appropriate way

• the service worked closely with other agencies and families to provide a holistic package, including working to improve a young person’s self-esteem and confidence, and promoting diversionary activities

• staff treated people with a caring and respectful attitude, including young people using the service, parents or carers and young people affected by their parent’s substance misuse

• the service facilitated a young person’s community mutual aid group that was open to all young people to provide peer support, diversionary activities and training

• the service worked with other agencies to enable them to carry out early initial screening for substance misuse in young people and a simple and quick pathway into treatment.

However, we also found areas that the provider could improve:

• The risk management plan did not include agreed actions that staff would take if a client missed an appointment or dropped out of treatment.