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This service was previously registered at a different address - see old profile

Reports


Inspection carried out on To Be Confirmed

During a routine inspection

Oasis Bradford is a drug and alcohol residential, 19 bedded detoxification service located within Bradford, West Yorkshire.

We rated Oasis Bradford as good because:

  • Staff ensured the safe running of the service. The building environment was clean, well maintained and fit for the purpose it was being used. The service had good safeguarding mechanisms in place to ensure the protection of vulnerable people. Staff ensured incidents were investigated and lessons learnt across the service.

  • The provider used interventions that were in line with best practice and national guidance. They offered their clients a range of different medical and therapeutic treatment options. Oasis Bradford employed a range of skilled staff with relevant qualifications to undertake their roles successfully. Staff received regular supervision and annual appraisals. Staff developed holistic, recovery-oriented care plans informed by a comprehensive assessment. Staff engaged in clinical audit to evaluate the quality of care they provided.

  • Staff were kind, compassionate and caring. Clients were at the centre of the care that the service offered. Clients were consulted with during times of change and their feedback was used to improve services. Clients were overwhelmingly positive about the care and treatment they received.

  • Staff were responsive to the needs of the people who use the service. They took appropriate measures to ensure clients could access the service by addressing protected characteristics such as disability and ethnicity. The service had a clear referral criteria and could treat clients in a timely manner; it also met its target for successful discharges. The service received 269 compliments in the last 12 months in comparison to 11 complaints.

  • The service was well led. The leaders were visible, knowledgeable and well established in their role. The organisation promoted an open culture where staff felt they could raise concerns without fear of reprisal. Oasis Bradford had robust, effective governance systems in place which enabled leaders to monitor performance and drive improvement.

However:

  • We found therapy space was be limited if the service was operating at capacity. However, we were told that the service had plans to extend its provision to a neighbouring building.

Inspection carried out on 21 August 2017

During a routine inspection

We do not currently rate independent standalone substance misuse services.

We found the following areas of good practice:

  • Oasis Recovery Bradford had a safe, clean and well maintained environment. Medication management and storage was good, the service had emergency medication with the appropriate audits in place. There were appropriate staffing levels with a robust process in place to replace staff during sickness, vacancy or unplanned leave.There was medical and management cover twenty-four hours a day, seven days a week. All clients had up to date risk assessments and risk management plans. They were detailed and staff reviewed risks regularly during daily hand overs.

  • All clients had a pre admission assessment which was done by a nurse and a doctor. The service had clear criteria for clients entering the service and recognised its limitations.Care plans were detailed, person centred and holistic. They identified any physical health needs and required support. The service had a skilled multi-disciplinary team including doctors, nurses, support workers, recovery coaches and a counsellor. They had good links with external community groups, and services such as mental health services, drug and alcohol teams, mutual aid, and housing.The service supported clients after their treatment had completed through an after care service, onward referrals, information about mutual aid groups and peer networks. Consent to share information was sought from clients during the assessment and reviewed regularly throughout their treatment.

  • Clients told us staff were caring, kind and compassionate. They felt staff did not judge them and were empathetic to their needs. We found the service was working closely alongside carers offering them support if required. The service had a successful discharge rate, averaging 92% over the last 12 months. For those clients who did not complete their treatment the service offered alternatives or additional support. The service met the needs of its clients, recognising spiritual or cultural requirements. Clients told us they felt comfortable to make a complaint, and we found the service responded to all complaints comprehensively in a timely manner.

  • Oasis Recovery Community Bradford was well led, with local governance arrangements in place to ensure good quality care, including a range of performance indicators, policies and procedures and clinical audit. Staff understood and followed safeguarding, incident reporting, and complaints procedures, and worked within the guidelines of the Mental Capacity Act (2005). Staff, clients, relatives and carers were able to give feedback on the planning, delivery and development of the service. The directors completed detailed quarterly quality audits, reviewing the service governance structures to ensure that treatment and care was safe, effective, and continued to improve.

However, we also found the following issues that the service provider needs to improve:

  • The service had completed a ligature assessment of the environment, however had not identified all the ligatures in the communal areas.