Archived: Wrington Lodge Also known as The Old Manse

Updated 4 October 2016

Wrington Lodge provides residential rehabilitation treatment for substance misuse based in Wrington, a village South of Bristol. It is one of two locations provided by Broadway Lodge Limited. The other is Broadway Lodge in Weston-super-Mare. The Care Quality Commission (CQC) registered the service in May 2014. It provides accommodation for persons over 18 requiring treatment for substance misuse. A manager registered by the CQC is in post.

Wrington Lodge is able to provide treatment for up to ten clients, all of whom are male. At the time of our inspection there were four clients receiving treatment. Wrington Lodge only accepts clients who do not require detoxification treatment. The treatment clients receive at Wrington Lodge is comprised of residential rehabilitation that includes psychological therapies.

Clients using the service can be self-funded or receive funding from statutory organisations such as local authorities.

This is the first time that CQC has inspected Wrington Lodge.

Updated 4 October 2016

We do not currently rate standalone substance misuse services.

We found the following areas of good practice:

• Clients told us they felt safe with the staff that cared for them. They stated that they felt respected and supported by staff.

• Staff completed robust admission assessments before clients joined the service. This ensured that the clients admitted were appropriate for the care that staff provided. As part of the process, staff completed emergency discharge plans for clients that were vulnerable to social problems.

• The therapies and care provided complied with the guidance of the National Institute of Health and Care Excellence (NICE) and Public Health England. The clients were positive about the care they received and the range of therapies and activities available.

• Staff received mandatory training, appraisal and supervision. However, the supervision was variable and minimal goals were identified for staff development within the appraisal process.

• Staff worked with clients to keep them safe. They identified safeguarding issues and made appropriate referrals.

• There was a wide-ranging therapy plan available and staff encouraged clients to participate in activities. These included planning and cooking the house meals and engaging in sporting activity.

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

• The care plans used by the service were not person centred. They all used the same wording but with minimal handwritten changes dependant on the clients involvement. There was minimal space for clients to identify their needs and strengths. However, they addressed all the common needs of clients and covered a wide range of issues. The provider had recognised this and was piloting a new care plan form.

• Completion of paperwork was inconsistent through the service. Clients’ files were disorganised. Staff had not consistently completed documentation that captured work they had done.

• Managers had not evidenced lessons learnt and changes to practice following incidents.