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Archived: Addaction - Cornwall

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Inspection report

Date of Inspection: 2, 3, 8, 9 January 2014
Date of Publication: 11 February 2014
Inspection Report published 11 February 2014 PDF | 95.92 KB

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 2 January 2014, 3 January 2014, 8 January 2014 and 9 January 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with staff, reviewed information given to us by the provider and took advice from our specialist advisors. We were accompanied by a specialist advisor.

Our judgement

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 inspection was conducted over four days. We were able to speak with people who used the service, attended two group therapy sessions, speak with the organiser of the service user advocacy group, and attended a ‘recovery café’ group.

All of the people who used the service, who we were able to speak with, were very positive about their experiences .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 “it is such a haven for me…everyone has made me feel welcome....the staff have always got time, nothing is too much trouble,” “I am more than happy with the service I receive,” and ”attending the ‘breaking the cycle’ group (family therapy) has been resulted in a major breakthrough in my recovery.” Another person said the organisation was “good at allowing people to lead their recovery journey.” One person, who was struggling with abstinence, said “when I have relapsed I have been able to come here and have never felt ‘beaten up’ or made to feel guilty, and staff have then helped me to move forward again.”

We spoke with staff members regarding the support which was in place. 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 detoxication at a hospital or via a residential programme.

We were told by staff at each centre there was a day programme. This was a rolling programme which people could repeat if it was helpful to them. Various groups took place including assistance with life skills, and money management.

Mutual Aid Partnership (MAP) groups were in place at each of the centres as well as set up at various other locations such as Bude and Launceston. 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. We attended a MAP group which took place at the Liskeard office. At the session people were invited to explore any concerns they had and develop plans to overcome their problems.

Some people, as well attending other activities and receiving other support, received acupuncture from staff, which they said was “really helpful.” However the provider might like to note some people said there should be more staff trained in this technique, as some people said it was not always possible to receive this support when it was wanted.

We attended a ‘recovery café’ session. In Liskeard, at the time of the inspection, two recovery cafes were in operation; firstly on a Sunday afternoon at the Salvation Army hall and secondly on a Wednesday evening, at the Liskeard office. Similar sessions were provided throughout Cornwall. The sessions provided an opportunity for people to informally gather, have a cup of tea, socialise and/or receive support and guidance from volunteers and other people who used the service.

We were also able to attend a ‘Breaking the Cycle’ group. This facilitated family based work with individual’s who used the service. Children, other family members/ significant others could also attend. At the session we attended people were supported by an art therapist who was able to use their knowledge and skills to assist people to explore their substance misuse issues. Participants told us the sessions were very beneficial to them, and had assisted them to break down barriers which were impeding their recovery.

We were able to speak with the chair of the Cornwall User Forum (UFO). We were told that Addaction had encouraged the development of the forum as an independent advocacy group. We were told Addaction had offered accommodation and support since the group’s inception and helped financ