Background to this inspection
Updated
28 July 2022
The BAC O’Connor Rehabilitation Centre is provided by The Burton Addiction Centre Limited. The BAC O’Connor Centre offers an inpatient detoxification service and a therapeutic rehabilitation programme. The programme offered by the service is abstinence-based and includes a structured day, group based interventions, educational workshops, mutual aid and discharge and recovery plans.
The centre is located on a site comprised of four adjacent houses or units (126 to 130 Station Road). Number 126 has the main reception, offices, and therapy rooms. Number 127/128 houses the therapeutic rehabilitation programme with accommodation for up to 24 clients. Unit 130 has 12 bedrooms and contains residential rehabilitation accommodation for more independent clients. Number 129 houses the detoxification unit with eight beds, although continued COVID-19 precautions limited occupancy to a maximum of six.
The provider is registered to provide the following regulated activities at this location:
• accommodation for persons who require treatment for substance misuse
• diagnostic and screening procedures.
The location has a registered manager and an accountable controlled drugs officer.
We have inspected this location on five occasions since January 2013. Our previous inspection was in November 2017 and at that time we did not rate independent standalone substance misuse services. Following that inspection, we issued a Requirement Notice for Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment, this related to some concerns around how staff managed medications. On our most recent inspection we found the required improvements had been made.
What people who use the service say
During our inspection we spoke with eight clients of the service. All spoke positively about staff in the service. They told us staff were helpful, caring and interested in their wellbeing. Staff were available when clients needed them, and none had experienced disruption to their treatment because there were not enough staff. They availability of staff with lived experience of recovery was particularly useful to clients.
Clients of the service felt safe. They felt staff involved them in the planning and delivery of their treatment. Clients spoke positively about the therapeutic rehabilitation programme, they believed it met their physical health, mental health and social needs. They felt the programme supported them to develop independent living skills and prepared them for recovery in the community. Clients knew how to raise a concern or give feedback and felt confident to do so.
Updated
28 July 2022
The BAC O’Connor Rehabilitation Centre is provided by The Burton Addiction Centre Limited. The BAC O’Connor Centre offers an inpatient detoxification service and a therapeutic rehabilitation programme. The programme offered by the service is abstinence-based and includes a structured day, group based interventions, educational workshops, mutual aid and discharge and recovery plans. This is the first time we have rated this service. At the time of our previous inspection, we did not rate independent standalone substance misuse services
We rated it as good because:
- The clinical premises where clients were seen were safe and clean. The service had enough staff. Staff assessed and managed risk well and followed good practice with respect to safeguarding.
- Staff delivered detoxification interventions safely and effectively. We saw they completed recognised withdrawal tools with clients during detoxification. The provider had processes in place to escalate and manage physical and mental health concerns when they occurred.
- The service included the full range of specialists required to meet the needs of clients under their care. 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. The provider made training, supervision and appraisal opportunities available to staff. Staff worked well together as a multidisciplinary team and with relevant services outside the organisation.
- Staff treated clients with compassion and kindness. Staff understood the individual needs of clients and supported them to understand and manage their treatment and condition. Staff involved clients in treatment decisions and planning their recovery
- The provider offered a well-established, weekly family and carer group. The group was open to anyone with a friend or family member experiencing substance misuse challenges.
- Staff managed admissions and discharges in the service well. The service environment supported clients’ treatment needs and met the needs of all clients, including those with a protected characteristic or with communication support needs. The service treated concerns and complaints seriously, investigated them and learned lessons from the results.
- Leaders had a good understanding of the services they managed. Staff felt respected, supported and valued. They felt positive about their work and proud about working for the provider.
However,
- Staff had used a medication labelled for an individual as stock medication; this was not in line with recognised good practice. The provider’s medication policy had not always been followed to ensure staff required to administer and support clients with their medication were assessed as competent to do so. The policy was not sufficiently robust to ensure the same staff always remained competent to do so.
- The ligature risk assessment had not been updated for a year although staff were aware of all of the ligature anchor points and the ligature risks for individual clients. Staff took immediate action to update the assessment when the concern was identified.
- The providers governance processes had not picked up some concerns that we found on inspection, for example, updating the ligature risk assessment