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Archived: Action for Change - Hastings and Rother

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Inspection report

Date of Inspection: 25 November 2013
Date of Publication: 24 December 2013
Inspection Report published 24 December 2013 PDF | 74.06 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 25 November 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.

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

We looked at treatment records for five people who used the service. People were able to contact the service themselves by telephone or through a drop-in session. When people decided they would like to receive support from Action for Change they were asked to complete a self-assessment. They were able to do this on their own or with the support of one of the staff members. A further assessment was then undertaken. This determined the individual’s level of alcohol dependency, what impact alcohol was having on the individual’s health, social life, work and family life.

Risk assessments were in place to identify if the individual was at risk of suicide or self-harm. There were also risk assessments in place for people who had parenting responsibilities. This identified if children were at risk from their parents behaviour. There was information about other people and organisations involved with the individual, and where appropriate their children.

We saw that people’s care and treatment was based on National Institute for Health and Care Excellence (NICE) guidance that reflected relevant research. A fundamental part of the service was to motivate people to enable them to make and sustain their own changes. They were supported by the service to achieve this through one-to-one or group sessions. This was achieved using motivational interviewing skills and providing a non-judgmental environment to support people to achieve positive changes in their lives.

All the people who used the service were encouraged to set their own goals. These included short, medium and long term goals. We saw in people’s files evidence of these. One short term plan for a person receiving one-to-one sessions was to engage with the counsellor. This person’s medium term goal was to get back to work, and their long term goal was complete abstinence from alcohol. One person we spoke with told us how the service had worked for them. They told us it was personalised and worked to what they wanted. They told us, “It’s good, it’s bang on.” People told us that goals and achievements were down to the individual themselves.

There was also information in files about what had motivated people to access and engage with the service. Reasons were varied and included the risk of losing their job, issues relating to health or engaging in risky or criminal activities. These motivations were referred to when people set their own goals.

The goals were re-visited at each one-to-one session. People were supported to change their goals when appropriate for them. We saw one person had a goal of abstaining from alcohol. Following a period of relapse this person amended their goal to reduce the amount they were drinking. We saw that this person’s motivation to change was referred to when their goals had changed. This was used to support the individual in setting their new goal.

All group sessions were supported by a member of staff and a support volunteer. We spoke with a member of staff who was involved in facilitating a group. They told us how the group looked at change and what changes people needed to make to enable them to achieve their goals. There were a number of different group sessions available for people at different stages of recovery. These included maintaining change and preventing relapse groups. There was also a peer support group in place for people who had achieved and maintained their goals.

Staff told us about a service that was in place for people’s significant others. This group provided support for people to enable them to support their significant other through the process. It helped people to gain a realistic understanding of the process and included changes they may need to make themselves. We looked at one file for a significant other. This person wanted information about how best to support their partner. We saw how coping mechanisms were explored with this person and at their follow up sessions.

Following assessment people who were deemed a