27 -28 January 2016
During a routine inspection
We do not currently rate substance misuse services
We found the following areas of good practice:
- There were enough staff to meet the needs of the clients. The service worked as part of a wider treatment system and referral pathways were in place. Premises were clean and tidy.
- Staff had the necessary skills to carry out their roles and were up to date with mandatory training. Staff were receiving good support from managers and supervision was excellent. This included 1-1, group, and external supervision for psychosocial and safeguarding.
- Staff knew how to report incidents and there was learning from these within team meetings. Procedures for safeguarding children and adults were in place, and understood by staff.
- Staff undertook clinical assessments and risk assessments. The provider had access to comprehensive assessments completed by the provider responsible for care coordination. Care plans were up to date and covered clinical aspects of treatment.
- Staff were involved in clinical audits. Local management was good and staff had support from the medical director.
We also found area that the provider could improve:
- Risk management plans were not in place, which meant that this information was not easily accessible to staff who were unfamiliar with the client.
- There were inconsistencies in staff carrying out drug testing of clients throughout treatment.
- The structure of the board meant that membership included the chief executive and medical director with no external members. This could lead to challenge about the transparency of decisions made at this level.