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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 protected from abuse and staff should respect their human rights (outcome 7)

Meeting this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

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 who used the service were protected from the risk of abuse. This was because the provider had taken reasonable steps to identify the possibility of abuse and took reasonable steps to prevent abuse from happening.

Reasons for our judgement

We observed positive interactions between the people who used the service and staff. The staff and people who used the service said people were well supported.

The registered manager provided us with a copy of Addaction Cornwall’s safeguarding policy. The policy clearly outlined the different types of abuse that staff needed to be aware of, and outlined a clear process (including local contact details) that should be followed if staff suspected abuse was occurring.

We spoke with some of the staff individually and in private. Staff said to us that people who were supported by Addaction Cornwall were well supported. Staff also said they had confidence in their colleagues’ practice, and they had not witnessed any poor practice.

We discussed with staff, what actions they would take if they had any concerns regarding care practice. The staff we spoke with said they would contact the management of the service. People said if management did not respond appropriately they would contact the Care Quality Commission, the local authority or other external agencies.

We assessed six staff personnel files to ascertain what training people had received regarding recognising abuse / safeguarding procedures. All of the staff files we inspected evidenced these staff had received training regarding the prevention of abuse and adult safeguarding. Importantly staff also received training regarding protection of children. This was because there was a possibility that children could be subjected to abuse for example if a person who used the service neglected their child due to drug and /or alcohol misuse.

We also checked what training staff had received regarding the Mental Capacity Act 2005, and associated matters such as deprivation of liberty safeguards. This legislation outlines what people’s rights are to make decisions, and what processes should be followed if people need to be restricted for example due to lack of capacity. There was no evidence staff had received training in this area, although we were told the legislation had been discussed in staff meetings. Of central importance to the ethos of the service was that individual users made a choice whether or not to engage in treatment and participate in the programme. Similarly people had to make the choice to complete the programme or not. Therefore the central tenets of the Act concur with the ethos of the programme. It was therefore unlikely people would be deprived of their liberty. However the registered manager said she would discuss this training need with the management team and they would make a decision whether for example Cornwall Council’s elearning programme about the Mental Capacity Act could be completed by the team.