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Inspection Summary


Overall summary & rating

Good

Updated 27 December 2018

we rated Linwood House as good because:

  • All client records contained a risk assessment which staff reviewed daily.
  • There were effective procedures in place for the administration of medication.
  • Clients were admitted through a robust admission assessment process.
  • Staff demonstrated a thorough knowledge of clients’ individual needs.
  • The service could respond promptly to requests to access support and had a flexible approach treatment options available.
  • The service had effective governance processes in place incorporating client feedback in to key performance indicator reports.

However:

  • Actions identified in the ligature policy had not been completed.
  • A sharps bin in the clinic room had not been returned in the required timeframe.
  • Best interest decisions to admit clients who temporarily lacked capacity or the rational and risk mitigation to admit clients who did not give consent for the service to contact their GP were not recorded.
Inspection areas

Safe

Good

Updated 27 December 2018

we rated safe as good because:

  • Clinic rooms were fully equipped with appropriate equipment to enable staff to perform their role.

  • Staffing levels in the service could be increased based on the level of occupancy and the needs of the clients.

  • All clients had a risk assessment on admission and these were reviewed daily.

  • Medication administration records were completed appropriately and did not contain any gaps or missed doses.

However:

  • Actions identified in the ligature policy had not been completed.

  • Admission records did not clearly record the rational and risk mitigation when a client was admitted without consenting to the service contacting their GP.

Effective

Good

Updated 27 December 2018

we rated effective as good because:

  • Clients were admitted through a three-staged admission assessment.

  • The service followed best practice guidelines.

  • Clients could access a range of individual and group therapy sessions as recommended by National Institute for Health and Care Excellence.

  • The service held monthly team meetings to share learning within the team.

However:

  • Best interest decisions made to admit clients who temporarily lacked the capacity to consent to treatment had not been recorded.

Caring

Good

Updated 27 December 2018

we rated caring as good because:

  • We observed genuine, caring interactions between staff and clients.

  • Clients spoke highly of all staff.

  • The staff we spoke with demonstrated a thorough knowledge of the clients and their individual support needs.

  • Clients in the rehabilitation unit were actively involved in developing and writing their own recovery plans.

Responsive

Good

Updated 27 December 2018

we rated responsive as good because:

  • The service could respond promptly to requests for support offering clients an admission date and time to suit their needs.

  • The service offered flexible treatment options and clients could choose to stay for detoxification, rehabilitation or both.

  • Transfers from the detoxification unit to the rehabilitation unit were planned and clients could spend time on the unit before transfer.

  • Formal complaints were investigated, and lessons learned were identified.

  • There were a range of facilities available for clients including therapy rooms for one to one or group therapy and craft rooms.

Well-led

Good

Updated 27 December 2018

we rated well-led as good because:

  • The provider had a clear governance process in place including a programme of regular audits.

  • The provider collected feedback from all clients and incorporated these in to their monthly key performance indicators.

  • Staff felt valued and supported by the provider and all staff received regular supervision.

  • Policies and procedures were available to all staff via an online portal, this ensured staff could always access current and up to date procedures.

However:

  • Some staff felt isolated from the provider and told us they felt they were employed by the location and not the provider.

Recent infection control audits had not identified a sharp box had not been returned and the clinic room bin did not have a lid.

Checks on specific services

Substance misuse services

Good

Updated 27 December 2018