• Residential substance misuse service

Archived: 1st Stage House

Overall: Good read more about inspection ratings

26 Blairderry Road, Streatham, London, SW2 4SB (020) 3659 4809

Provided and run by:
HOPE Worldwide

Latest inspection summary

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Background to this inspection

Updated 7 September 2022

1st Stage House is a male only residential rehabilitation service for up to eight men with a history of substance misuse issues. Clients must complete a detoxification programme prior to admission and be abstinent. At the time of the inspection there were three clients using the service.

The service is provided by HOPE Worldwide and the 1st Stage House forms part of their “One Day at a Time” programme. At the time of our inspection there were three clients using the service. Client treatment costs were funded by the client’s local authority or by the client. The “One Day at a Time” programme is based on a model of recovery which is being used in the United States of America. As part of the programme, clients are offered therapeutic interventions and appointments with their key worker at the day service which is located nearby.

There was a registered manager for the service at the time of the inspection. The service is registered to provide:

• Accommodation for persons who require treatment for substance misuse.

We last inspected 1st Stage House in August 2017. At that inspection we found concerns about the safety of the service and issued a number of requirement notices. During this inspection, we found that the service had addressed these concerns. The previous inspection was not rated.

What people who use the service say

Clients’ feedback about the service and staff was very positive. Clients reported that staff treated them well and with compassion. A ‘buddy’ was allocated to clients when they first moved in. This helped clients to establish relationships with more senior clients. Clients described how staff treated them well through the duration of their stay and looked after them.

We saw staff spending time with clients in the communal areas during the day and speaking to clients in a friendly and respectful manner.

Overall inspection

Good

Updated 7 September 2022

  • The service provided safe care. Staff assessed and managed risk well and followed good practice with respect to safeguarding and incident reporting.
  • Staff developed care plans informed by a comprehensive initial risk assessment upon admission. They provided a range of treatments that were informed by best-practice guidance and suitable to the needs of the clients.
  • Staff discussed ways to improve the service and create new pathways into the service and made contacts in the community to facilitate this.
  • The team and leadership group were stable and had been in place since the previous inspection in 2017. The registered manager ensured that these staff received training, supervision and appraisals. Staff worked well together as a team and with relevant services outside the organisation.
  • Staff treated clients with compassion and kindness, respected their privacy and dignity, and understood the individual needs of clients.

However:

  • The annual fire risk assessment was overdue, and staff had not acted promptly to implement recommendations from the previous fire risk assessment. This raised the risk of harm should there have been a fire outbreak. The provider addressed this concern during the inspection.
  • Updates to client risk assessments were not always recorded in their care plans, which meant this information was not always easily accessible to staff.
  • Some areas of the residential premises were dusty and unclean and some repairs had not been completed.