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Archived: Greenwich Primary Care Drug and Alcohol Service

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Inspection report

Date of Inspection: 14 January 2014
Date of Publication: 23 January 2014
Inspection Report published 23 January 2014 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

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 14 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 and talked with staff.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We reviewed the files for ten people who used the service. These showed that people had to have an initial needs assessment which looked at various areas such as their use of alcohol, drugs, mental health, family situation, housing and finances. One member of staff told us that this allowed the service to see whether people needed support from other external agencies such as the DWP or housing. People were also required to attend a full medical check with the service's doctor and the service liaised with people's GP's to get further information on their medical history. A care plan would be then be created and it would be discussed with the person about what treatment they could receive. Records we reviewed showed that people attended groups and one to one sessions to address areas which had been identified in their care plans. For example one person's care plan said that the person would reduce their use of a particular illicit substance. This would be achieved by the person engaging in group therapy, taking their medication and attending appointments with the doctor. We saw in another person's file that when they had not been attending appointments, staff had attempted to contact them and arrange meetings to address how they could help the person follow their treatment programme.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. We saw evidence in the files we looked at that people had risk assessments and risk management plans in place. The risk assessments and risk management plans looked at areas such as substance misuse related risks, risk of harm to others and physical health. They also provided direction for staff and the person on how to manage or minimise the risk. For example one person who was at risk of relapse was encouraged to attend their relapse prevention appointments and staff were encouraged to educate them on their drug use and how it affected them.

We spoke to three people who used the service. One person told us "They have helped me more than anything and have gone out of their way to help me sort things out." They also said "Coming here stops me being bored and it has been good for me here, I have been to other places, but here you walk in and you feel safe and welcomed." Another person said "They say I can change, we talk about change here." Still another said "This is the second time I have come back here and I only came back so quickly because my previous experience was so good. All the staff I have met here have been nice, you really feel like they are rooting for you and have my best interests at heart."

Two people we spoke with who used the service told us that they felt staff treated them with respect and dignity and did not talk down to them. We spoke to staff about treating people with respect and dignity. One person said they were conscious of the language they used and the tone of their voice. Another said that they looked at people's cultural needs and ensured they took these into account when supporting people. They also said that they were conscious of the language that they used and they were sensitive with people who had children and how they felt about coming to the service.

We observed during our visit that staff spoke to people in a very friendly manner. People in the communal areas appeared to be comfortable and relaxed. We noted that people went into the communal kitchen and made themselves tea and coffee.

There were arrangements in place to deal with foreseeable emergencies. We were given a panic alarm to take with us when speaking to people and we were told by the registered manager that staff took these into each appointment or session with people. This was in case of staff needing support to deal with a situation. Staff we spoke with said that in the event of an incident they would summon for he