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This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 26 June 2019

  • The service had enough staff, was safe, clean, well equipped, well furnished, well maintained and fit for purpose.

  • The service used systems and processes to safely prescribe, administer, record and store medicines. Electronic systems allowed staff to have easy access to clinical information which meant they could maintain high quality electronic clinical records.
  • The service managed client safety incidents well.
  • Staff assessed the substance misuse history, physical and mental health of all clients on admission and created holistic and recovery-oriented care plans based on these assessments.
  • Staff provided a range of treatment and care for clients based on national guidance and best practice. They ensured that clients had good access to physical healthcare and supported them to live healthier lives.
  • The manager made sure they had staff with the range of skills needed to provide high quality care and maintained high levels of mandatory training.

  • Staff from different disciplines worked together as a team to benefit clients.

  • The senior management team had the skills, knowledge and experience to perform their roles and all staff treated clients with compassion and kindness.
  • The service treated concerns and complaints from staff and clients seriously, investigated them and learned lessons from the results. Clients and their families were actively approached to gather their feedback on the quality of care provided and shared this information with the whole team and wider organisation.
  • Staff felt respected, supported and valued. They said the organisation promoted equality and diversity in daily work and provided opportunities for development and career progression. They could raise any concerns without fear.
Inspection areas

Safe

Good

Updated 26 June 2019

We rated safe as good because:

  • The service was safe, clean well equipped, well furnished, well maintained and fit for purpose. Staff knew about any ligature anchor points and actions to mitigate risks to clients who might try to harm themselves.
  • The service had enough staff, who knew the clients and received specific training to keep people safe from avoidable harm.
  • The service provided mandatory training in key skills to all staff and made sure everyone completed it.
  • Staff assessed and managed risks to clients and themselves well and followed best practice in anticipating and managing challenges relating to substance misuse.
  • Staff understood how to protect clients from abuse and the service worked well with other agencies to do so. Staff had training on how to recognise and report abuse, and they knew how to apply it.
  • Staff had easy access to clinical information and it was easy for them to maintain high quality electronic clinical records.
  • The service used systems and processes to safely prescribe, administer, record and store medicines. Staff reviewed the effects of medicines on each client’s mental and physical health.
  • The service had a good track record on safety.
  • The service managed client safety incidents well. Staff recognised incidents and reported them appropriately. The manager investigated incidents and shared lessons learned with the whole team and the wider service. When things went wrong, staff apologised and gave clients honest information and suitable support.

Effective

Good

Updated 26 June 2019

We rated effective as good because:

  • Staff assessed the substance misuse history, physical and mental health of all clients on admission. They developed individual care plans which were reviewed regularly through multidisciplinary discussion and updated as needed. Care plans reflected clients’ assessed needs and were personalised, holistic and recovery-oriented.
  • Staff provided a range of treatment and care for clients based on national guidance and best practice. They ensured that clients had good access to physical healthcare and supported them to live healthier lives.
  • Staff used recognised rating scales to assess and record severity and outcomes. They also participated in clinical audit.
  • The service included or had access to the full range of specialists required to meet the needs of clients in the service. The manager made sure they had staff with the range of skills needed to provide high quality care. They supported staff with appraisals, supervision and opportunities to update and further develop their skills. The manager and senior support worker provided an induction programme for new staff.
  • Staff from different disciplines worked together as a team to benefit clients. They supported each other to make sure clients had no gaps in their care. The service had effective working relationships with other relevant locations within the organisation and with relevant services outside the organisation.

  • Staff supported clients to make decisions on their care for themselves. They understood the organisation’s policy on the Mental Capacity Act 2005 and assessed and recorded capacity clearly for clients who might have impaired mental capacity.

Caring

Good

Updated 26 June 2019

We rated caring as good because:

  • Staff treated clients with compassion and kindness. They respected clients’ privacy and dignity. They understood the individual needs of clients and supported clients to understand and manage their care, treatment or condition.

  • Staff involved clients in care planning and risk assessment and actively sought their feedback on the quality of care provided. They ensured that clients had easy access to independent advocates.

Responsive

Good

Updated 26 June 2019

We rated responsive as good because:

  • The service planned and managed discharge well. They liaised well with services that would provide aftercare and were assertive in managing the discharge care pathway. As a result, clients did not have excessive lengths of stay and discharge was rarely delayed for other than a clinical reason.

  • The design, layout, and furnishings of the services supported clients’ treatment, privacy and dignity. Clients had the choice of their own bedroom with an ensuite bathroom and could keep their personal belongings safe. There were quiet areas for privacy and pods in the grounds for recreational activities and groupwork.
  • Staff supported clients with activities outside the service, such as work, education and family relationships.
  • The service met the needs of all clients, including those with a protected characteristic. Staff helped clients with advocacy and cultural and spiritual support.
  • The service treated concerns and complaints seriously, investigated them and learned lessons from the results, and shared these with the whole team and wider organisation.

Well-led

Good

Updated 26 June 2019

We rated well led as good because:

  • The senior management team had the skills, knowledge and experience to perform their roles. They had a good understanding of the service they managed and were visible in the service and approachable for clients and staff.

  • Staff knew and understood the provider’s vision and values and how they were applied to the work of the team.
  • Staff felt respected, supported and valued. They said the organisation promoted equality and diversity in daily work and provided opportunities for development and career progression. They could raise any concerns without fear.
  • Our findings from the other key questions demonstrated that governance processes operated effectively at service level and that performance and risk were managed well.

  • The service had access to the information they needed to provide safe and effective care and used that information to good effect.

  • Staff collected analysed data about outcomes and performance.
Checks on specific services

Substance misuse services

Good

Updated 26 June 2019