Archived: Haywain Barn Also known as Regain Recovery

Updated 25 January 2019

Haywain Barn, also known as Regain Recovery, is a service provided by TCH Therapy Service Limited. Haywain Barn provides a private, residential rehabilitation and alcohol detoxification service for clients who misuse alcohol and substances. During their treatment, clients take part in group and individual therapies and activities to support them in their recovery. The service's rehabilitation programme is therapeutic and not based on the traditional 12-step model. The programme is based on several 'talking therapies' including CBT, EMDR and others.

The staff team at Haywain Barn includes a registered manager, a nurse, a GP, therapists, and recovery workers. Haywain Barn consists of a large house, two cottages and leisure facilities set in five acres of land.

All clients self-fund their treatment. The service works with referral agencies that promote services to prospective clients.

Haywain Barn is registered with the CQC to provide treatment of disease, disorder or injury and accommodation for persons who require treatment for substance misuse. The service has been registered with the CQC since November 2016.

Haywain Barn was last inspected in July 2018 when we undertook a focussed inspection to see if the provider had made the improvements we said it must make in the warning notice that we had served following our inspection in May 2018. During this inspection we found the provider was meeting their requirements and the warning notice was lifted.

The service is registered to accommodate up to five clients. At the time of inspection, there were three clients residing at Haywain Barn.

Updated 25 January 2019

We rated Haywain Barn as good overall because:

• Staff managed alcohol detoxification safely in line with national guidance. Staff used and completed nationally recognised assessment tools. Clients had the necessary blood tests taken prior to commencing a detoxification regime. The doctor assessed all patients prior to the start of their detoxification regime and during the detoxification. Staff used the clinical institute withdrawal assessment of alcohol scale (CIWA-Ar) to identify and monitor withdrawal symptoms. Staff acted promptly by monitoring and administrating medication as required in such instances.
• The service was completing relevant health and safety checks and had records in place to demonstrate this. The service had completed comprehensive environmental risk assessments. The provider had employed an external company to conduct a ligature audit of the service and planned to use the findings to improve the service’s ligature risk assessment. Although the service did not take clients who were at high risk of ligaturing, the management team recognised that client risk levels can change during treatment.
• Staff completed risk assessments for all clients. These were completed at pre-admission, on admission and reviewed weekly with clients.
• Client records contained a comprehensive assessment. Staff developed recovery plans that met the needs identified during assessment. Therapy staff completed person-centred treatment plans with all clients shortly after admission. Treatment and recovery plans contained client’s goals and aims for treatment and were reviewed weekly with clients.
• There were very few blanket restrictions place on clients and those in place were clearly justified and understood by the clients. Staff supported clients to maintain contact with their families. Clients had access to their mobile phones and were not restricted in their use so they could maintain contact with families and friends. The service encouraged family to engage with the service and held weekend family days for family to get to know the service.
• Staff, together with clients, developed discharge plans that included a crisis plan and an unplanned discharge plan. Clients were provided with information on the risks of leaving detoxification early. Clients discussed discharge in weekly sessions and those nearing discharge had a final discharge plan detailing where they were going and what aftercare they would receive from the service. The service provided clients with an aftercare programme following discharge. Clients typically received four follow-up calls to ensure the treatment the client received remained effective and staff provided support to clients when needed.
• There was a positive and supportive culture within the organisation. Staff told us that senior members of the organisation were approachable and supportive. Staff told us that the manager was passionate about the service and felt supported by the service nurse.

However:

• There were no formal arrangements in place to cover the service if the nurse and service GP went on leave. The nurse was not receiving formal clinical or peer supervision.
• The provider did not use recognised outcome tools to determine the effectiveness of treatment. For example, by using the Treatment outcomes profile (TOP) or the Alcohol outcomes record (AOR).

Updated 25 January 2019

Haywain Barn is a residential rehabilitation and alcohol detoxification service for the treatment of substance misuse.

Updated 30 October 2017

Inspected but not rated