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Archived: Delphi Wellbeing Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 17 June 2019

We rated Delphi Wellbeing Centre as good because;

  • The facilities and environment were spacious and clean. There were enough rooms to see clients. Staffing levels were sufficient to meet the needs of clients. All staff had received mandatory training. Staff received regular supervision and managers understood the service well and provided clinical and managerial leadership to staff.

  • Vulnerable groups were targeted and offered specific support to meet their needs. This included clients who were homeless or pregnant. Chronic obstructive pulmonary disease screening was being planned at their service.

  • There was a range of interventions to support recovery. There were interventions aimed at maintaining and improving clients’ social networks, employment and educational opportunities. Family and community relationships were promoted. The service had a separate pathway for clients who had achieved abstinence. Support was specific to maintaining recovery.

  • Staff demonstrated a compassionate approach to understanding clients’ needs. Clients described feeling involved in their care and treatment decisions.

  • The service was flexible to meet the needs of clients with caring or employment commitments. Referrals were accepted and encouraged from a wide range of organisations. The service was responsive to feedback from patients, staff and external agencies.

  • Family and community relationships were promoted, and a family support practitioner delivered an accredited session and a family mediation pilot had just been implemented.

  • The service was well led by the managers and who understood the service needs. The governance structures in place were effective and ensured accountability, transparency and responsiveness of the service.

  • The service welcomed learning, continuous improvement and innovation. Staff were involved in a number of projects designed to enhance the service and improve client care and outcomes. A new structured family support group had been introduced.

  • The service had implemented a joint dental day initiative with the British Dental Association which had been operating for several years.  Staff had set up the initiative in response to clients often struggling to engage with dental services.
Inspection areas

Safe

Good

Updated 17 June 2019

We rated safe as good because:

  • The facilities and environment were spacious and clean. Clinic rooms were well equipped with the necessary equipment to carry out physical examinations.

  • Staffing levels were sufficient to meet the needs of clients. All staff had received mandatory training.

  • The service assessed and managed the risks to clients and their staff and completed and updated risk assessments and safeguarding information for clients on a regular basis.

  • Staff had access to essential information they needed to inform them of the clients they worked with.

  • Chronic obstructive pulmonary disease (COPD) screening clinics were being planned within the service.

  • Staff followed and implemented best practice in relation to medicines management and had effective liaison with community pharmacist which was integral to the safe supervision of clients.

Effective

Good

Updated 17 June 2019

We rated effective as good because:

  • Assessments, care plans and recovery plans were in place.

  • There was a range of interventions to support recovery. This included employment support, psychological therapies and group work.

  • The service recognised the value of accredited schemes, peer reviews and research projects.

  • Staff provided treatments and care for clients based on national guidance and best practice. Staff supported clients with their physical health and encouraged them to live healthier lives.

  • Staff received regular supervision and felt supported by senior staff members.

  • Staff completed treatment outcome profile forms with clients. This was a form that collects information about clients’ drug or alcohol use and lifestyle and measures the progress a client makes in treatment. Staff also sent information to the National Drug Treatment Monitoring Service which collects information on substance use nationally.

  • Multidisciplinary and interagency team work was fully embedded into the care and treatment and recovery pathway for clients.

Caring

Good

Updated 17 June 2019

We rated caring as good because:

  • Staff demonstrated a compassionate approach to understanding clients’ needs.
  • Clients described feeling involved in their care and treatment decisions. We spoke with three clients who used the service and they reported staff were positive polite, kind and helpful. They told us staff supported them to understand and manage their care and treatment and provided responsive, practical and emotional support as appropriate. They told us staff directed them to other services when appropriate and, if required, supported them to access those services.

  • There were interventions aimed at maintaining and improving clients’ social networks, employment and educational opportunities. Clients were encouraged to attend community resources if they wanted.

  • The service provided support for families and carers. They provided access to a family mediation service. The service had also introduced a hepatitis C screening for family and friends to access at another location within the service provision.

Responsive

Good

Updated 17 June 2019

We rated responsive as good because:

  • Access to the service were accepted and encouraged from a wide range of organisations. Clients were offered treatment to meet their needs and alternative treatment options were provided.

  • The service was flexible to meet the needs of clients with caring or employment commitments. Evening appointments were offered, and Skype calls had been used with clients who were working away.
  • The service had implemented a joint dental day initiative with the British Dental Association. The service had set up the initiative in response to clients often struggling to engage with dental services.

  • Vulnerable groups in Blackpool were targeted for help and offered specific support to meet their needs. This included clients who were homeless or pregnant.
  • There was a formal discharge pathway for clients who had achieved abstinence.

  • The facilities were sufficient to promote recovery, comfort, dignity and confidentiality. There were enough rooms for staff to see clients in.
  • Family and community relationships were promoted. A family practitioner in the service delivered group and individual family and carer interventions. Family mediation was being piloted within the service and this was accessible to the clients from Delphi Wellbeing Centre.

Well-led

Good

Updated 17 June 2019

We rated well led as good because:

  • Managers had the skills and knowledge to perform their roles and the service had a vision and strategy and value based ethos.

  • The service was responsive to feedback from patients, staff and external agencies.

  • Managers understood the service well and provided clinical leadership to staff. Managers were a visible presence and were approachable.

  • The service had effective systems for identifying risks, planning to eliminate or reduce them, and coping with both the expected and unexpected.

  • The service reviewed incidents and analysed emerging themes. The service was working with other agencies to reduce the number of client deaths. Common themes had been identified and plans put in place to minimise risks.

  • The service was responsive to feedback from patients, staff and external agencies.

  • The service welcomed learning, continuous improvement and innovation. The service was involved in many projects designed to enhance the service and improve client care and outcomes.
Checks on specific services

Substance misuse services

Updated 28 July 2017

Inspected but not rated - see overall summary.

Community-based substance misuse services

Good

Updated 17 June 2019

Please see the main body of the report