The Haynes Clinic Limited Also known as Chicksands

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

This means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question Inadequate. At this assessment the rating has remained Inadequate.

We have not awarded this service a score for Effective.

Find out about when we will not publish a key question score and what we look at when we assess Effective.

We scored the service as 2. The evidence showed some shortfalls. The service did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

We reviewed 16 care records and saw that there were a number of gaps in assessments of people’s physical and mental health needs. In some assessments staff had recorded a yes answer to physical and mental health needs but had not added any details.

Physical health concerns were not monitored effectively. Staff completed daily physical health observations of people undergoing detoxification but did not always take action on the results. We saw examples where a person’s blood pressure had dropped to a low level but there was no review or follow up, another person had suffered a fall after complaining of feeling over-sedated but there was no review and in both cases neither person was seen by the doctor. One person showed signs of jaundice but no investigation of potential liver disease.

The service accepted people with disordered eating alongside substance misuse. We reviewed one record where the person had a care plan goal to increase their weight. Staff completed daily food and fluid intake records and had a contract in place for the person to sit for 40 minutes after mealtimes. However, staff had not agreed a set target weight or weekly increase goal for the person and there was no record of how staff should escalate concerns if the person lost weight or did not meet their contract.

Following this inspection the service employed a full-time nurse, whose role included the oversight and weekly audits of care records including assessments and care plans. The service introduced standardised assessment documentation and were planning to introduce an electronic care records system to improve consistency and allow for easier oversight. The nurse role would also include the physical health observations of people using the service and medical escalation in the event of any concerns.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.