18 June 2019
During a routine inspection
This is the first time we will be rating this substance misuse service.
We rated Medwin Road as good because:
- At our previous inspection in February 2018, we found the provider did not effectively; address potential safeguarding concerns, the environment at Medwin Road was not maintained to an adequate standard and the provider had not ensured that there were systems and processes in place to assess monitor and improve the service and mitigate the risks to clients or staff. At this inspection, we found that the provider had made all the required improvements.
- Staff understood how to protect patients 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. There was a clear procedure in place detailing the local arrangements for identifying and referring adult and children safeguarding incidents to the local authority.
- The premises were safe, clean, well equipped, well furnished, well maintained and fit for purpose. Clients slept at Medwin Road whilst receiving detoxification and therapy at the PCP Clapham day service.
- The service had enough support staff when clients were present in the service, who knew the patients and received basic training to keep people safe from avoidable harm.
- Clients had early exit plans if they left detoxification treatment early. This meant clients had been given information about the risks of leaving treatment early and what behaviours to avoid and minimise risks.
- Staff treated clients with compassion and kindness. They respected clients’ privacy and dignity. They understood the individual needs of clients.
- Staff knew and understood the provider’s vision and values and how they applied to the work of their team.
- Staff had access to the information they needed to provide safe and effective care and used that information to good effect.
- The service had robust arrangements in place to ensure the safety of staff and clients when staff were working alone.
However:
- Although staff had received training in a range of areas pertinent to their role, two out of three members of staff had not been trained to administer naloxone, a medicine used to reverse an opiate overdose.