You are here

CGL Knowsley Integrated Recovery Service Good

Inspection Summary


Overall summary & rating

Good

Updated 17 July 2019

We rated CGL Knowsley integrated recovery service as good because:

  • The service managed client safety incidents well. Staff recognised incidents and reported them appropriately. Managers 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.
  • There were clearly defined and embedded systems, processes and standard operating procedures to keep people safe and safeguarded from abuse
  • Clients had up to date risk assessments and care plans that were holistic and recovery-orientated. Care plans were clearly written from the client’s perspective and included their views.
  • Staff actively sought client feedback on the service and involved clients in decisions about the running of the service.
  • Clients had the opportunity to join governance meetings and to sit on staff interview panels.
  • The service worked closely with the local community mental health team to help clients gain access to mental health services.
  • The service offered co-located chronic obstructive pulmonary disease (COPD) clinics, sexual health clinics and a hepatitis c clinic.
  • Staff were actively looking at ways to improve the service they provided. They had been successful in winning bids to help to improve the service and took part in pilot programmes that suited their client group.

However:

  • Clients were not given a copy of their care plan.
Inspection areas

Safe

Good

Updated 17 July 2019

We rated safe as good because:

  • The service had enough staff, who knew the clients and received training to keep people safe from avoidable harm. The number of clients on the caseload of the teams, and of individual members of staff, was not too high.

  • Staff assessed and managed risks to clients and themselves. They developed recovery and risk management plans when this was necessary and responded promptly to sudden deterioration in a client’s health.

  • 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 kept detailed records of clients’ care and treatment. Records were clear, up-to-date and easily available to all staff providing care.

  • The service managed client safety incidents well. Staff recognised incidents and reported them appropriately. Managers 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 17 July 2019

We rated effective as good because:

  • Staff assessed the treatment needs of all patients. They developed individual care plans and updated them when needed. Care plans reflected the assessed needs, were personalised, goal focused and recovery-oriented and staff updated them when appropriate.

  • Staff provided a range of care and treatment interventions suitable for the client group. They ensured that clients had good access to physical healthcare and supported clients to live healthier lives.

  • The teams included or had access to the full range of specialists required to meet the needs of clients under their care. Managers provided an induction programme for new staff.

  • Staff from different disciplines worked together as a team to benefit patients. They supported each other to make sure that clients had no gaps in their care. The teams had effective working relationships with other relevant teams within the organisation and with relevant services outside the organisation.

However:

  • Clients were not given a copy of their care plan

Caring

Good

Updated 17 July 2019

We rated caring as good because:

  • Staff treated clients with compassion and kindness. 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.

  • Staff included clients in key areas of the service such as being on interview panels for staffing vacancies.

  • Staff provided support to family members and carers of clients.

Responsive

Good

Updated 17 July 2019

We rated responsive as good because:

  • The service treated concerns and complaints seriously, investigated them and learned lessons from the results, and shared these with all staff.

  • The service maintained a good relationship with the local community mental health team that allowed clients to access mental health services in a timely manner.

  • All new referrals to the service were seen within five days.

  • The service provided co-located chronic obstructive pulmonary disease (COPD clinics), hepatitis C clinics and sexual health clinics along with testing for blood-borne virus screening and information.

Well-led

Good

Updated 17 July 2019

We rated well-led as good because:

  • Leaders had the skills, knowledge and experience to perform their roles, had a good understanding of the services 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 in the work of their team.

  • The service had clear communication routes with staff for reporting back on incidents, complaints and compliments.

  • Staff were actively looking at ways to improve the service they provided. They had been successful in winning bids to help to improve the service and took part in pilot programmes that suited their client group.

Checks on specific services

Substance misuse services

Good

Updated 17 July 2019

See main body of the report