Bank House

Updated 28 July 2022

Bank House is a 17-bedded, mixed gender, residential substance misuse service providing medically managed detoxification and rehabilitation interventions based in Sutton in Ashfield. The service has a few rooms for people who are detoxing and the rest of the rooms are for post detox therapeutic support. The service offers an abstinence-based programme that includes a structured day, group based interventions, educational workshops, mutual aid (12 step and Self-Management and Recovery Training), and discharge and relapse prevention plans. Length of stay ranges from seven days to 12 weeks.

All clients at Bank House are self-funded and choose to receive treatment at Bank House. When we inspected, Bank House had 16 clients.

Bank House registered with CQC in August 2017. It is the only registered location under the provider Steps Together Rehab Limited. It provides the regulated activities:

• Accommodation for persons who require treatment for substance misuse
• Treatment of disease, disorder or injury

Bank House has a CQC registered manager in post at the time of this inspection.

This was the third inspection of Bank House. The previous inspection was in October 2018, this inspection identified areas of improvement required, and requirement notices were issued prompting action the provider must take to meet:

• Regulation 9 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Person-centered care
• Regulation 12 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014-Safe care and treatment
• Regulation 15 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 Premises and equipment
• Regulation 17 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014-Good governance

The provider submitted action plans for the requirement notices.

During this inspection we found the provider had made improvements since the previous inspection and met all the previous requirement notices.

What people who use the service say

Clients were very positive about the care they received at Bank House. They praised the staff and the therapy program that they felt was better than places they had previously received care. Clients said the food was of very good quality and that the chef was brilliant and would cook to meet their dietary needs.

Clients said they felt heard at community meetings, and that their feedback was taken on board. They said that staff would make adaptations to meet their needs if they had any protected characteristics. Clients said that staff empowered them to make changes in their own lives without forcing them to participate.

Updated 28 July 2022

Bank House is a 17-bedded, mixed gender, residential substance misuse service providing detoxification and rehabilitation interventions.

Our rating of this location improved. We rated it as good because:

• The service provided safe care. The clinical premises where clients were seen were safe and clean.
• The service had enough staff, including nursing staff for safe detox.
• Staff assessed and managed risk well and followed good practice with respect to safeguarding. Staff now had access to alarms, and clients had access to call alarms in their rooms.
• Staff developed holistic, recovery-oriented care plans informed by a face to face comprehensive assessment. They provided a range of treatments suitable to the needs of the clients and in line with national guidance about best practice.
• Staff engaged in clinical audit to evaluate the quality of care they provided. Clinical audits now ensured care records were holistic and well ordered.
• The teams included or had access to the full range of specialists required to meet the needs of clients under their care. Managers ensured that these staff received training, supervision and appraisal. Staff worked well together as a multidisciplinary team and relevant services outside the organisation.
• Staff treated clients with compassion and kindness, and understood the individual needs of clients. They actively involved clients in decisions and care planning.
• The service was easy to access. Staff planned and managed discharge well.
• The service was well led, and the governance processes ensured that its procedures ran smoothly. This included the management of medical stationary which was an improvement since our previous inspection.

Updated 19 December 2018

Updated 28 July 2022