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Archived: The Providence Projects - Percy

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Inspection report

Date of Inspection: 6, 7 August 2013
Date of Publication: 7 September 2013
Inspection Report published 07 September 2013 PDF | 87.42 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 6 August 2013 and 7 August 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service and talked with staff.

We were supported on this inspection by an expert-by-experience. This is a person who has personal experience of using or caring for someone who uses this type of care service.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

Reasons for our judgement

The treatment programmes offered by The Providence Projects were based on abstinence and the 12 step approach. Structured day programmes took place seven days a week for periods ranging from 10 days to 24 weeks depending on an individual’s needs, personal goals and sometimes cost.

The content of the programmes included group therapy sessions, one-to-one counselling/psychotherapy, peer evaluation reviews, goal setting, written assignments, lectures and video presentations, daily diary discussions, written assignments, gender specific and special interest groups. Workshops were also organised about among other things relapse prevention, anger management, relationships, nutrition, assertion and the 12 steps of recovery.

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan.

We spoke with 13 people who were at different stages of their treatment programmes. Several people told us they visited The Providence Projects to have an assessment in order to identify what help they wanted. Others told us they had a telephone assessment and discussed their goals and needs further when they were admitted for treatment.

Care and treatment was planned and delivered in a way that ensured people’s safety and welfare.

We specifically case tracked four of the people we spoke with. This meant that we looked at records the service kept about them including their care/support plans. Their records showed that potential risks to their welfare had been assessed and agreed with them. This included self-harm and the ability to self-medicate if required and taking part in some physical activity.

People told us that within a very short time on the day of their admission to the project they were taken to see a GP who worked closely with the Providence Projects. They told us they were given a thorough health check and any medication they were taking was reviewed. Eight of the people we spoke with had spent most of the first week of their treatment programmes going through a detoxification process. This required them to take medication prescribed by the GP to help alleviate the painful physical symptoms of withdrawal and associated risks such as seizures.

People’s experiences of the detoxification process were very different. Some individuals found detoxification extremely hard and others less so. We saw one person who was there in their second day and in very obvious discomfort and threatening to go and “score” because of the way they felt. We noted the staff responded very quickly to the person’s situation and arranged at very short notice for the person to see the GP.

One person said, “I found night times difficult when I was detoxing because of the lack of support”.

We discussed with the manager the potential risks to people arising from the fact they returned to their accommodation at the end of their day programmes and there were no resident staff. The manager said there was an on out of hours on call system out of normal in place and in an emergency staff would attend. They pointed out that the mix of people at all accommodation ensured there were individuals who had successfully experienced detoxification and a major element of treatment programmes was about peer support.

People we spoke with confirmed that they did receive help support from their peers during difficult times. One person said, "We look out for each other”. They also said that staff reacted quickly if called for an emergency out of hours. People said things such as not eating properly and risks or relapsing were quickly noticed by their peers in the house groups and staff were alerted and also such issues were raised at daily diary meetings.

We looked at records of out of hours incidents. It was clear there was an efficient system in place for responding to emergencies that could arise when people were going through the process of detoxification.

The manager told us that staff accompanied people to appointm