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Lancashire Incorporating Blackburn with Darwen Substance Misuse Services Good

Inspection Summary


Overall summary & rating

Good

Updated 10 April 2019

We rated Inspire East Lancs as Good because:

  • There were clearly defined and embedded systems, processes and standard operating procedures to keep people safe and safeguarded from abuse.
  • Staffing levels and skill mix were planned, implemented and reviewed to keep people safe at all times. Any staff shortages were responded to quickly and adequately. There were effective handovers, multidisciplinary team meetings and complex case reviews held to ensure staff could manage risks to people who use the service.
  • Clients care and treatment was planned and delivered in line with current evidence-based guidance and outcome measures were in place to monitor consistency of practice.

  • Clients had comprehensive assessments of their care needs which considered physical, mental and emotional health.

  • Feedback from clients who used the service was continuously positive about the way staff treated them and felt staff went above and beyond in their roles.

  • Staff recognised and respected people’s needs. They always took into account peoples personal, cultural, social and religious needs.

  • Peoples individual needs and preferences were central to the planning and delivery of tailored services. The services were flexible, provided choice and ensured continuity of care.
  • There was a proactive approach to understanding the needs of different groups of people and to deliver care in a way that met their needs and promoted equality.
  • There was a clear statement of vision and values, driven by quality and safety.

  • There was an effective and comprehensive process in place to identify, understand, monitor and address current and future risks.

  • Leaders at every level prioritised safe, high quality, compassionate care and promoted equality and diversity.

  • There was a strong focus on continuous learning and improvement.

  • Leaders were visible within the service and valued highly by the team.
Inspection areas

Safe

Good

Updated 10 April 2019

We rated safe as good because:

  • The service had enough staff to cater for client need. Where there were vacancies staff had ensured these were covered by agency staff and moving staff around bases to ensure there was no impact to client care.

  • Services had well-equipped clinic rooms. The clinic rooms were clean, tidy and had all necessary equipment available.

  • There were emergency medicines in stock at all services we visited. These were all stored securely and safely and were in date. All staff had received training on how to administer this.

  • Openness and transparency about safety was encouraged. Staff understood and fulfilled their responsibilities to raise concerns and report incidents.

  • There were clearly defined and imbedded systems, processes and standard operating procedures to keep people safe and safeguarded from abuse.

  • Staff recognised and responded appropriately to changes in risks to people who use the service.

Effective

Good

Updated 10 April 2019

We rated effective as Good because:

  • The records we reviewed all contained comprehensive assessments following a referral into the service and detailed care plans were seen in all records that met the need of the client.

  • Risk assessments, risk management plans and recovery plans were all up to date and regularly reviewed.

  • Information about peoples care and treatment, and their outcomes was routinely collected and monitored.

  • Staff were skilled and experienced and offered a range of psychosocial interventions.

  • Blood borne virus testing was routinely offered to all clients and co-located clinics were held with consultants from local NHS Trusts.

  • The service had effective protocols in place for the shared care of people who use their services.

  • There was a robust discharge policy in place with well thought out discharges and a recovery care package was on offer from the service.

Caring

Good

Updated 10 April 2019

We rated caring as Good because:

  • Feedback from clients who used the service was consistently positive about the way staff treated them. Clients told us their care was excellent.

  • There was a strong, visible person-centred culture. Staff were highly motivated and inspired to offer care that was kind and promoted people’s dignity. Relationships between people who used the service, those close to them and staff were strong, caring and supportive. The relationships were valued highly by staff and promoted by leaders within the service.

  • Staff recognised and respected the totality of people’s needs. They always took personal, cultural, social and religious needs into account.

  • Staff actively engaged people using their service and families and carers in planning care and treatment. People who used the service were active partners in their care. Staff were fully committed to working in partnership with clients. Staff always empowered clients who used the service to have a voice and to realise their potential. Clients individual preferences and needs were always reflected in how care was delivered

  • Clients emotional and social needs were highly valued by staff and were embedded in their care and treatment.

Responsive

Good

Updated 10 April 2019

We rated responsive as Good because:

  • Client’s individual needs and preferences were central to the planning and delivery of tailored services. The services were flexible, provided choice and ensured continuity of care.

  • The involvement of other organisations and the community were integral to how services were planned and ensured that clients’ needs were met. There were innovative approaches to providing integrated person-centred pathways of care that involved service providers, particularly with multiple and complex needs.

  • There was a proactive approach to understand the needs of different groups of people and to deliver care in a way that meets those needs and promote equality. This included people who were vulnerable and/or had complex needs.

  • There was an active review of complaints and how they were managed and responded to and improvements were made as a result across the service.

Well-led

Good

Updated 10 April 2019

We rated well-led as Good because:

  • Staff knew and understood the vision, values and strategic goals of the service

  • The service had an effective governance structure. Governance policies, procedures and protocols were regularly reviewed and improved and were all up to date.

  • Managers were experienced, well respected, visible and all staff we spoke to felt supported by the leadership team.

  • Information and analysis were used proactively to identify opportunities to drive improvements in care.

  • There was a strong focus on continuous learning and development at all levels within the service.

  • Staff morale was high across the service, staff felt valued and respected.

Checks on specific services

Substance misuse services

Good

Updated 10 April 2019