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Birmingham Inpatient Drug Treatment Service Good

We are carrying out a review of quality at Birmingham Inpatient Drug Treatment Service. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 12 July 2019

We rated Birmingham inpatient treatment drug treatment service as good because:

  • Staff knew how to protect people from harm and could identify when clients were at risk of significant harm. Staff knew what incidents to report and the procedures to follow when reporting. The service discussed and learnt from incidents and implemented changes to improve working practices.

  • There was clear learning from incidents the service developed an open learning culture that all staff contributed to and supported.

  • Staff were aware of the service vison and values and felt respected and supported by the managers. Staff had opportunities to improve their working practices through supervision, training and team building days.

  • Staff completed and updated clients’ risk assessments and risk management plans which included early exit from the service. All risks identified throughout the assessment phase were transferred through to the clients care records and regularly monitored.

  • Recovery plans were individual and met the client’s needs, they included pathways to other services and agencies that could also support the client.

  • Staff followed best practice when storing, recording and administering medicines. There were good systems and processes in place for controlled medicines. Staff had access to guidelines policies and procedures for managing medicines.
  • Staff communicated with patients with compassion and kindness and clients spoke highly of staff and their knowledge, skills and professionalism.
  • Staff understood the individual needs of clients and involved and supported clients in understanding their care and treatment.
  • Managers had the skills, knowledge and experience required to effectively perform and lead in their roles. They had a good understanding of the service and were visible and approachable for staff and clients.

However:

  • Although the service allowed children to visit clients at Park House and had a procedure to follow, to keep them safe they did not have child visiting policy.
Inspection areas

Safe

Good

Updated 12 July 2019

We rated safe as Good because:

  • The service had secure access to the building through a video intercom system operated by staff. The service had a safe environment. Clients staff and visitors were provided with portable alarms. All areas accessed by clients were clean and well maintained. Furniture and décor were in good condition.

  • All clients received a weekly fire safety briefing to ensure they were aware of procedures to follow in the event of a fire.

  • The service had ensuite rooms and provided male and female only sleeping corridors. Prior to admission, clients were offered a choice of whether they wished to access same sex only sleeping corridors or mixed area.

  • Staff completed and updated clients’ risk assessments and risk management plans which included early exit from the service. All risks identified throughout the assessment phase were transferred through to the clients care records and regularly monitored.

  • Staff knew how to protect people from harm and could identify when clients were at risk of significant harm. Staff knew what incidents to report and the procedures to follow when reporting. The service discussed and learnt from incidents and implemented changes to improve working practices.

  • There was clear learning from incidents the service developed an open learning culture that all staff contributed to and supported.

  • Staff followed best practice when storing, recording and administering medicines. There were good systems and processes in place for controlled medicines. Staff had access to guidelines policies and procedures for managing medicines.

    However:

  • The service did not have a policy to follow to support children when visiting Park House.

Effective

Good

Updated 12 July 2019

We rated effective as Good because:

  • The service invited clients to a preadmission visit where staff began the process of assessment. Staff completed care records which showed a seamless transfer and continuity of care from the community team to the inpatient services.

  • Recovery plans were individual and met the clients’ needs, they included pathways to other services and agencies that could also support the client.

  • Staff provided clients with a range of care and treatment interventions suitable for the client group. The interventions were those recommended for substance misuse services.

  • Staff had opportunities to improve their working practices through supervision, training and team building days.

Caring

Good

Updated 12 July 2019

We rated well-led as Good because:

  • Staff communicated with patients with compassion and kindness and clients spoke highly of staff and their knowledge, skills and professionalism.

  • Staff understood the individual needs of clients and involved and supported clients in understanding their care and treatment.
  • Care plans were personalised and holistic. Clients told us that staff listened to them and that their treatment was individualised and included their goals and needs.

  • The service encouraged clients to provide feedback during weekly service user meetings and by completing a questionnaire on completion of treatment.

Responsive

Good

Updated 12 July 2019

  • There were good facilities that promoted comfort dignity and privacy. Clients had their own ensuite rooms. There was access to a range of rooms for various groups and activities.

  • Recovery plans met the diverse needs of clients using the service. Staff ensured clients were referred to other agencies for support prior to discharge and involved key workers.

  • The service had disabled access for those who required it this included rooms adapted to support their needs.

  • The service monitored all clients on the admission list and kept in contact with referrers and care co-ordinators. They were aware of any changes to those requiring admission.

Well-led

Good

Updated 12 July 2019

We rated well-led as good because:

  • Managers had the skills, knowledge and experience required to effectively perform and lead in their roles. They had a good understanding of the service and were visible and approachable for staff and clients.

  • Staff applied the services vision and values and felt respected and supported by the managers.

  • The service had a clear governance structure and frameworks that were embedded throughout the organisation. There were good reporting tools to capture the performance of the service

  • The service had good processes to manage staff well being and provided weekly wellbeing hours. Staff could use the hour to manage and support their mental health and physical wellbeing.

Checks on specific services

Substance misuse services

Updated 27 March 2017

Residential substance misuse services

Good

Updated 12 July 2019