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Archived: Addaction - Cornwall

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All reports

Inspection report

Date of Inspection: 4, 5, 6 February 2013
Date of Publication: 7 March 2013
Inspection Report published 7 March 2013 PDF

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 4 February 2013, 5 February 2013 and 6 February 2013, checked how people were cared for at each stage of their treatment and care and talked with people who use the service. We talked with staff.

Our judgement

People’s privacy, dignity and independence were respected. People’s views and experiences were taken into account in the way the service was provided and delivered in relation to their care.

Reasons for our judgement

The people we spoke with were positive regarding how staff supported them. We observed staff working professionally with the people who used the service. Everyone we spoke with said staff were supportive and did their best to meet individual needs. Typical comments included “support from Addaction has been invaluable,” “Addaction has helped me so much…they don’t do things for you, they empower you….staff are very non judgemental; they are very person centred.” And “the support is very good….the staff are absolutely fantastic…they are very dedicated and have helped me a great deal.”

We asked people if they could make choices and decisions about the support they received. People told us this was the key to the organisation’s ethos and recovery programme. Staff told us that people who used the service needed to want to get over their substance misuse problems and it was not possible to force people to recover. The people we spoke with said their recovery was not an easy process but Addaction Cornwall helped them a great deal. Staff were said to be very supportive, professional and listened to what people who used the service had to say. What was particularly valued was that many of the staff and volunteers had themselves had alcohol and/ or drug problems. People that used the service and staff told us about the support in place:

1.At each centre in Penzance, Liskeard and Truro there was a day programme. The programme operated for at least four days a week, for four weeks. This was a rolling programme which people could repeat if it was helpful to them.

2.People received support from a Substance Misuse Practitioner. These staff ensured people received a comprehensive assessment, and assisted the person to draw up a recovery plan. The Substance Misuse Practitioner could also refer people to other services such as detox at a hospital or via a residential programme.

3.Various groups took place for example at the three Addaction centres. These included ‘Life skills’ work, money management, or fun based activities such as mosaic making. Each of the centres had a Life Skills Worker.

4.‘Mutual Aid’ (MAP) groups. At the time of the inspection these were run at the three organisational centres, and also in Newquay and Falmouth (there were plans to develop these groups elsewhere). The groups were facilitated by trained volunteers (mostly ex users of the service). The groups facilitated discussion regarding various issues and problems people faced during their recovery and how these problems could be overcome. One key issue for people was ensuring they received on going support and encouragement to maintain their recovery after any formal programmes were completed. People who used the service told us the MAP process, as well as other programmes on offer, were very important in maintaining the work people had completed.

5.Recovery Cafes. These were run at the three centres once a week for example in Truro on a Saturday. These were informal gatherings where people could meet over a cup of tea with others who used the service, and volunteers, to receive support and guidance.

6.Duty service. A Substance Misuse Practitioner was based during office hours each day at each of the three centres. Members of the public could drop in for assessment and support.

7.‘Breaking the Cycle’. The organisation had three workers who undertook family based work with the partners, children or other family members/ significant others, of a person who used the service. This helped to ensure support was given to others in the household of the primary person who used the Addaction service. This helped to ensure support and importantly that drug and/or alcohol addiction was not deemed a suitable role behaviour for others in the household / family grouping.

8.A needle exchange scheme was in operation in Penzance. This enabled intravenous drug users to obtain clean needles. This programme aimed to cut down the risk of for example HIV infection.

9.Preparation for Chang