Archived: SALUS - Withnell Hall - Health, Wellbeing & Addiction Treatment Centre Limited

Updated 20 November 2019

Salus Withnell Hall – Health Wellbeing and Addiction Treatment Centre is a 26-bed residential service. It offers psychosocial rehabilitation services to individuals with substance misuse and addiction problems. The service offers treatment to men and women over the age of 18. The service does not offer detoxification programmes. All clients undergo detoxification or are free from illicit substances before admission.

The service is registered to provide accommodation of persons who require treatment for substance misuse. The service has a registered manager and a nominated individual.

Salus Withnell Hall – Health Wellbeing and Addiction Treatment Centre has been registered with the CQC since July 2014. It has been inspected twice. The service was inspected in August 2016. We did not rate the service at that time. The service was inspected again in January 2019. Following that inspection, the service was rated inadequate and placed in special measures. The service was rated inadequate in the safe and well-led domains; requires improvement in the effective and responsive domains and good in the caring domain.

We issued one warning notice under regulation 15 (premises and equipment). We told the service that they must ensure people who use the service were protected from risks associated with unsafe or unsuitable premises because of inadequate maintenance or checks.

We also issued six requirement notices under regulation 9 (person-centred care) in relation to assessment of client need; regulation 10 (dignity and respect) in relation to shared dormitories; regulation 12 (safe care and treatment) in relation to assessment of risk and medicines management; regulation 17 (good governance) in relation to effective governance; regulation 18 (staffing) in relation to mandatory training and regulation 19 (fit and proper persons employed) in relation to recruitment procedures.

Following the findings of this inspection and due to improvements made we are removing this service from special measures.

Updated 20 November 2019

We rated SALUS – Withnell Hall Health, Wellbeing and Addiction Treatment Centre as good overall because:

• The findings of this inspection mean the service is being removed from special measures.
• The service had implemented an action plan following our last inspection that addressed all of our previous concerns. There was clear evidence that the service had improved.
• The service provided a safe and effective psychosocial rehabilitation service (therapies and interventions that support recovery) for individuals with substance misuse problems. The environment was safe, clean and supported recovery. The service had enough staff. Staff assessed and managed risks associated with the client base and rehabilitation well.
• 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 audit to evaluate the quality of care they provided.
• The service had access to the full range of specialists required to meet the needs of clients and deliver a rehabilitation service. Managers ensured that these staff received training, supervision and appraisal. Staff worked well together as a team and with relevant services outside the organisation.
• Staff treated clients with compassion and kindness. They 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 and had alternative pathways for people whose needs it could not meet.
• The service was well led. Governance processes had been embedded and they ensured that its procedures ran smoothly.

However:

• We found one risk assessment where the section on blood borne viruses had not been completed. We found one risk assessment that did not have a full assessment of previous alcohol and substance misuse.

Updated 12 July 2019