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Inspection Summary


Overall summary & rating

Good

Updated 11 April 2019

  • The service provided safe care. The environment was safe and clean. The service had enough staff. Staff assessed and managed risk well. They minimised the use of restrictive practices, managed medicines safely and followed good practice in safeguarding clients.
  • Staff developed holistic, recovery-oriented or strengths based care plans informed by a comprehensive assessment. They provided a range of treatments suitable to the needs of the clients and in line with national guidance and best practice. Staff engaged in clinical audit to evaluate the quality of care they provided.
  • The service had a range of specialists required to meet the needs of clients. Managers ensured that these staff received training, supervision and regular appraisal. Staff worked well together as a team and with those outside the service.
  • Staff treated clients with compassion and kindness, respected their privacy and dignity and understood the individual needs of clients. They actively involved clients in care decisions and engaged families and loved ones.
  • The service was accessible, there was no waiting list and the service had a swift and flexible admission process with timely aftercare provision.
  • The service was well led and the governance processes ensured that the service had policies and procedures in place to run the service smoothly.
Inspection areas

Safe

Good

Updated 11 April 2019

  • All areas were safe, clean, well equipped, well furnished, well maintained and fit for purpose. Staff managed environmental risks and took action to prevent risks to clients who might try to harm themselves.
  • Staff completed and updated risk assessments for each client and used these to understand and manage risks individually.
  • The service had enough staff, who knew the clients and received basic training to keep people safe from avoidable harm- including training in protecting clients at risk of abuse.
  • Staff had easy access to information about clients and it was easy for them to maintain and update clinical records.
  • Staff followed best practice when storing, dispensing, and recording. Staff regularly reviewed the effects of medications on each client’s physical health.
  • The service managed client safety incidents well and used lessons learned to improve the wider service. When things went wrong, staff apologised and gave clients honest information and suitable support.

Effective

Good

Updated 11 April 2019

  • Staff completed comprehensive assessments of clients, including full assessment of their physical and mental health needs. They developed individual care plans and updated them when needed.
  • Staff provided a range of treatment and care for clients based on national guidance and best practice. Staff supported clients with their physical health and encouraged them to live healthier lives.
  • Staff had a range of skills needed to provide high quality care. They received appraisals, supervision, opportunities to update and further develop their skills.
  • Staff from different disciplines worked together as a team to benefit clients. They supported each other to make sure clients had no gaps in their care.
  • Staff understood their roles and responsibilities under the Mental Health Act Code of Practice. Staff explained clients rights to them on admission and routinely thereafter if needed.

Caring

Good

Updated 11 April 2019

  • Staff treated clients with compassion and kindness.
  • Staff respected clients’ privacy and dignity, and supported their individual needs.
  • Staff involved clients and those close to them in decisions about their care, treatment and changes to the service.

Responsive

Good

Updated 11 April 2019

  • There was no waiting list and the service had a swift and flexible admission process.
  • Clients had their own areas/rooms where they could keep personal belongings safely. There were quiet areas for privacy and where clients could be independent of staff.
  • The service provided accessible, flexible and timely aftercare provision.
  • The service was accessible and took account of clients’ individual needs. Staff helped clients with communication, advocacy and cultural support.
  • The service treated concerns and complaints seriously, investigated them and learned lessons from the results, and shared these with all staff.

Well-led

Good

Updated 11 April 2019

  • Managers had the skills, knowledge and experience to perform their roles, were visible in the service and approachable for clients and staff.
  • The service had a vision for what it wanted to achieve and workable plans to turn it into action developed with involvement from staff and clients.
  • Staff felt respected, supported and valued. They reported that the provider promoted opportunities for development. They felt able to raise concerns without fear.
  • Managers across the service promoted a positive culture that supported and valued staff, creating a sense of common purpose based on shared values.
  • The service collected, analysed, managed and used information well to support all its activities, using secure systems with security safeguards.
Checks on specific services

Substance misuse services

Good

Updated 11 April 2019